Provider Demographics
NPI:1346850187
Name:ZHANG, MENG (MPH, MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:MENG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MPH, MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SOUTH STREET
Mailing Address - Street 2:WIC/NUTRITION DEPARTMENT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-521-6774
Mailing Address - Fax:
Practice Address - Street 1:145 SOUTH STREET
Practice Address - Street 2:WIC/NUTRITION DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-521-6774
Practice Address - Fax:617-521-6797
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist