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HOLISTIC MEDICINE LLC

Dietary & Nutritional Service Providers Nutritionist

Provider NPI: 1578078275

Organization Information:
Organization Name:  HOLISTIC MEDICINE LLC
Organization is not Subpart
Authorized Official:  LEONID  GORDIN  OWNER  617-661-6225

Practice Location:
2500 MASSACHUSETTS AVE  CAMBRIDGE, MA 02140-1628 US
Tel: 617-661-6225  Fax: --

Business Mailing Address:
19 HAMPSHIRE RD  WAYLAND, MA 01778-1005 US
Tel: 508-358-1005  Fax: --

NPI Information:
NPI: 1578078275
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N133N00000XDietary & Nutritional Service Providers
Nutritionist
N133NN1002XDietary & Nutritional Service Providers
Nutritionist
N171100000XOther Service Providers
Acupuncturist
N175F00000XOther Service Providers
Naturopath
N175L00000XOther Service Providers
Homeopath
N207KA0200XPhysicians
Allergy & Immunology
N208100000XPhysicians
Physical Medicine & Rehabilitation
Y2083T0002XPhysicians
Preventive Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2083T0002X

Type:

Classification:



Definition:



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