Provider Demographics
NPI:1144758541
Name:DFO NUTRITION
Entity Type:Organization
Organization Name:DFO NUTRITION
Other - Org Name:FRESH START WOMEN'S NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:F
Authorized Official - Last Name:ORENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:617-571-9872
Mailing Address - Street 1:1137 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1101
Mailing Address - Country:US
Mailing Address - Phone:617-571-9872
Mailing Address - Fax:
Practice Address - Street 1:1137 BEACON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1101
Practice Address - Country:US
Practice Address - Phone:617-571-9872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000003671133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty