Provider Demographics
NPI:1578713731
Name:HOEK, DIANA MARTHINSEN (RD)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:MARTHINSEN
Last Name:HOEK
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 1:250 WASHINGTON ST FL 6
Mailing Address - Street 2:DEPARTMENT OF PUBLIC HEALTH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4603
Mailing Address - Country:US
Mailing Address - Phone:617-624-6149
Mailing Address - Fax:
Practice Address - Street 1:250 WASHINGTON ST FL 6
Practice Address - Street 2:DEPARTMENT OF PUBLIC HEALTH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4603
Practice Address - Country:US
Practice Address - Phone:617-624-6149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA440133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered