Provider Demographics
NPI:1629650015
Name:GAFFNEY, GISELE (RD, LDN)
Entity Type:Individual
Prefix:
First Name:GISELE
Middle Name:
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COMMANDANTS WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-4040
Mailing Address - Country:US
Mailing Address - Phone:617-824-0932
Mailing Address - Fax:
Practice Address - Street 1:100 COMMANDANTS WAY APT 101
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-4040
Practice Address - Country:US
Practice Address - Phone:617-824-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4770133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered