Provider Demographics
NPI:1629302377
Name:DROHAN, JENNIFER T (RD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:T
Last Name:DROHAN
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 1:223 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1322
Mailing Address - Country:US
Mailing Address - Phone:508-393-0640
Mailing Address - Fax:
Practice Address - Street 1:223 HOWARD ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1322
Practice Address - Country:US
Practice Address - Phone:508-393-0640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA500133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered