Provider Demographics
NPI:1528287190
Name:MCANDREWS, CATHERINE A (RD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:MCANDREWS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:A
Other - Last Name:MILOTICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:373 BROADWAY
Mailing Address - Street 2:APT 2RR
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1756
Mailing Address - Country:US
Mailing Address - Phone:617-817-6371
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:650-497-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2279133V00000X
CA934135133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered