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Contact Information

MARY ANN GRAHAM, MSRD LDN
630 PLANTATION STREET
WORCESTER, MA01605
 Phone: 508-852-6175
 Fax: 508-595-2941
 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 MARY ANN GRAHAM · (Female)

NPI # 1942318571
Status Active
Credentials MSRD LDN
Entity Individual
Enumeration date 08/25/2006
Last updated 02/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 216
  • Other 7856570 AETNA US HEALTHCARE
  • Other LD0142 BLUE CROSS
  • Other 67850 FALLON COMMUNITY HEALTH P
  • Other AA16843 HARVARD PILGRIM HEALTHCAR
  • Other MT0708 MEDICARE B
  • Other 042472266 PRIVATE HEALTHCARE SYSTEM
  • Other 042472266 THREE RIVERS
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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