Provider Demographics
NPI:1073773883
Name:SYLVESTRE, JANE LYNN (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:LYNN
Last Name:SYLVESTRE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:278 UNION ST
Mailing Address - Street 2:SURGICAL WEIGHT LOSS SPECIALISTS
Mailing Address - City:EAST WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032-1037
Mailing Address - Country:US
Mailing Address - Phone:508-668-4400
Mailing Address - Fax:508-668-4420
Practice Address - Street 1:278 UNION ST
Practice Address - Street 2:SURGICAL WEIGHT LOSS SPECIALISTS
Practice Address - City:EAST WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02032-1037
Practice Address - Country:US
Practice Address - Phone:508-668-4400
Practice Address - Fax:508-668-4420
Is Sole Proprietor?:No
Enumeration Date:2008-06-15
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2718133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered