Basic Information
| Provider Information | |||||||||
| NPI: | 1891028577 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIZZOTTO | ||||||||
| FirstName: | JO-ANNE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.E.D.,R.D.,L.D.N., | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 JOSLIN PL | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022155306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177322457 | ||||||||
| FaxNumber: | 6177322574 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 JOSLIN PL | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022155306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177322457 | ||||||||
| FaxNumber: | 6177322574 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2009 | ||||||||
| LastUpdateDate: | 09/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 1547 | MA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.