Provider Demographics
NPI:1275696965
Name:BELCHER, DONNA MARIE (RD, LDN, CDE)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:BELCHER
Suffix:
Gender:F
Credentials:RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PINECREST VLG
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2168
Mailing Address - Country:US
Mailing Address - Phone:508-544-2822
Mailing Address - Fax:
Practice Address - Street 1:UMASS MEMORIAL MEDICAL CENTER
Practice Address - Street 2:NUTRITION DEPT - 55 LAKE AVE NORTH
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655
Practice Address - Country:US
Practice Address - Phone:508-856-3280
Practice Address - Fax:508-856-8020
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2098133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered