Siva Panchamoorthy, R.D.
NPI #1558493874 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1558493874
- Entity Type
- Individual
- Name
- Siva Panchamoorthy, R.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 59 TOWNSEND ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-1318
- Phone
- (617) 989-8228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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