Provider Demographics
NPI:1982936167
Name:ROSSMAN, KAREN W (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:W
Last Name:ROSSMAN
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 1:40 WOODBINE RD
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3036
Mailing Address - Country:US
Mailing Address - Phone:781-440-0611
Mailing Address - Fax:
Practice Address - Street 1:40 WOODBINE RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3036
Practice Address - Country:US
Practice Address - Phone:781-440-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA993133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered