Healthcare Provider Details

I. General information

NPI: 1750618211
Provider Name (Legal Business Name): MELISSA CHRISTINE MAJUMDAR RD, LDN, CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA CHRISTINE BOSSLET RD, LDN, CPT

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 FRIENDSHIP BLVD #T-90
CHEVY CHASE MD
20815-7256
US

IV. Provider business mailing address

5550 FRIENDSHIP BLVD #T-90
CHEVY CHASE MD
20815-7256
US

V. Phone/Fax

Practice location:
  • Phone: 301-654-2521
  • Fax:
Mailing address:
  • Phone: 301-654-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX2884
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: