MEDICARE: GILLIAN GRANT ARATHUZIK RD, LDN, CDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1006X	Metabolic Nutrition Registered Dietitian	852	MA

General Provider Information

NPI Number	:	1922023217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILLIAN GRANT ARATHUZIK RD, LDN, CDE

Provider Business Mailing Address
First Line	:	6 WILLIAMS RD
Second Line	:
City	:	TOPSFIELD
State	:	MA
Zip	:	01983-1627
Country	:	US
Telephone Number	:	781-710-5148
Fax Number	:	617-732-2574

Provider Business Practice Location Address
First Line	:	1 JOSLIN PL
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5306
Country	:	US
Telephone Number	:	617-309-4531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/08/2013

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