Provider Demographics
NPI:1801404512
Name:EGENER, CAROLINE HUTCHINS (RD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HUTCHINS
Last Name:EGENER
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 1:49 PINE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2427
Mailing Address - Country:US
Mailing Address - Phone:508-561-1370
Mailing Address - Fax:
Practice Address - Street 1:49 PINE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:MA
Practice Address - Zip Code:02030-2427
Practice Address - Country:US
Practice Address - Phone:508-561-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered