Provider Demographics
NPI:1588386098
Name:MAGAY, RAMAN (FN- RWS, BCSI)
Entity type:Individual
Prefix:
First Name:RAMAN
Middle Name:
Last Name:MAGAY
Suffix:
Gender:F
Credentials:FN- RWS, BCSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MARION RD
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4708
Mailing Address - Country:US
Mailing Address - Phone:978-413-0614
Mailing Address - Fax:
Practice Address - Street 1:84 MARION RD
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-4708
Practice Address - Country:US
Practice Address - Phone:978-413-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist