Sarah A Anzlovar, RDN

Individual provider Active NPI Registered Dietitian · Medfield, MA

NPI 1609376136 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1609376136
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3527 (MA)
Practice address
110 Elm St
Medfield, MA 02052-2823
Phone
(774) 469-0505
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3527MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Gold Nutrition, LLC Dietitian, Registered Current
since Oct 24, 2021
Accepting new patients

Locations

163 Highland Ave
#1061
Needham, MA 02494
Phone (774) 469-0505

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 3527 MA
Nutrition Education Nutritionist 133NN1002X 3527 MA
Metabolic Nutrition Registered Dietitian 133VN1006X 3527 MA
Registered Dietitian 133V00000X 3527 MA Yes

Addresses

Primary practice location

110 Elm St
Medfield, MA 02052-2823

Mailing address

163 Highland Ave # 1061
Needham, MA 02494-3025
Phone (774) 469-0505

Other providers in Medfield, MA

All providers in Medfield, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.