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Contact Information

JESSE BUSA, MS, RD, LDN
632 BLUE HILL AVE
DORCHESTER, MA02121-3293
 Phone: 617-825-3400
 Fax: 617-825-7217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for JESSE BUSA · (Female)

NPI Number 1003375841
Status Active
Credentials MS, RD, LDN
Entity Individual
Enumeration date 03/19/2019
Last updated 03/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • License # 86078381
  • MA License # 4631-NU-NU
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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