Provider Demographics
NPI:1659897627
Name:ALBANO, CAITLIN ELIZABETH (RD, LDN)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:ALBANO
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 1:77 W MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-1663
Mailing Address - Country:US
Mailing Address - Phone:781-724-9359
Mailing Address - Fax:508-819-3080
Practice Address - Street 1:77 W MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1663
Practice Address - Country:US
Practice Address - Phone:781-724-9359
Practice Address - Fax:508-819-3080
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2887133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered