Provider Demographics
NPI:1205687092
Name:SARA YEN, RDN
Entity type:Organization
Organization Name:SARA YEN, RDN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDN
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:WAICHONG
Authorized Official - Last Name:YEN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:603-860-4736
Mailing Address - Street 1:50 ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2233
Mailing Address - Country:US
Mailing Address - Phone:603-860-4736
Mailing Address - Fax:
Practice Address - Street 1:50 ELMHURST RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2233
Practice Address - Country:US
Practice Address - Phone:603-860-4736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty