Provider Demographics
NPI:1164234969
Name:ROTO, ANNA VIRGINIA (RDN, MPH, PHD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:VIRGINIA
Last Name:ROTO
Suffix:
Gender:F
Credentials:RDN, MPH, PHD
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:VIRGINIA ROTO
Other - Last Name:CATALDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH, PHD
Mailing Address - Street 1:34 LONGFELLOW DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1260
Mailing Address - Country:US
Mailing Address - Phone:860-428-6301
Mailing Address - Fax:
Practice Address - Street 1:34 LONGFELLOW DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1260
Practice Address - Country:US
Practice Address - Phone:860-428-6301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN4458133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered