Provider Demographics
NPI:1548338015
Name:OLENDZKI, BARBARA C (RD, MPH, LDN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:C
Last Name:OLENDZKI
Suffix:
Gender:F
Credentials:RD, MPH, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 HOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-2421
Mailing Address - Country:US
Mailing Address - Phone:978-563-1550
Mailing Address - Fax:508-856-2022
Practice Address - Street 1:55 LAKE AVE N BLDG SHAW
Practice Address - Street 2:UMASS MEDICAL SCHOOL
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:508-856-5195
Practice Address - Fax:508-856-2022
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236133V00000X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Not Answered133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAOLMT0243Medicare ID - Type UnspecifiedPARTICIPATING PROVIDER