Gordana Bosnic, RD, LDN
Individual provider Active NPI Registered Dietitian · Winchester, MA
NPI 1700917697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700917697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 803 (MA)
- Practice address
- 41 Highland Ave
Winchester, MA 01890-1446 - Phone
- (781) 756-2605
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | MA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 803 | MA | Yes |
Addresses
Primary practice location
41 Highland Ave
Winchester, MA 01890-1446
Mailing address
44 Washington St Apt 702
Brookline, MA 02445-7105
Phone (617) 331-1296
Other providers in Winchester, MA
- Barbara H Bjornson
- Emily Elizabeth Blake
- Saritha Bolla
- Robert Bordonaro
- Teresa Marie Bose
- Christina Maria Bouboulis
- Corey Bova
- Jessica Dawn Bradford
- Eileen Bradley
- William L Breckwoldt III
All providers in Winchester, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.