Provider Demographics
NPI:1578592374
Name:SAUL, NORA (RD)
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:
Last Name:SAUL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JOSLIN PL
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5306
Mailing Address - Country:US
Mailing Address - Phone:617-735-1977
Mailing Address - Fax:617-732-2574
Practice Address - Street 1:ONE JOSLIN PLACE
Practice Address - Street 2:JOSLIN DIABETES CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5397
Practice Address - Country:US
Practice Address - Phone:617-735-1977
Practice Address - Fax:617-732-2574
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA189133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA189OtherLICENSE
SAMT0084Medicare ID - Type Unspecified