IndividualActive
Agatha Tam
NPI 1336804202 · Registered Dietitian · Boston, MA
Provider details
- NPI number
- 1336804202
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5452-NU-NU (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
50 Staniford St
Boston, MA 02114-2517
Phone: (617) 726-0373
Approximate (ZIP-level) locationGet directions
Mailing address
8 Amory St Apt 1
Cambridge, MA 02139-1274
Registry dates
- Enumerated
- 2021-11-04
- Last updated
- 2021-11-04
- Certified
- 2021-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.