Doctor Name: | SOPHIA C KAMVERIS |
NPI Number: | 1619956810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DIETITIAN |
License Number: | 1137 |
Business Practice Address: | 22 Mill St Suite 105 Arlington, MA - 024764784 |
Business Phone Number: | 6175158984 |
Business Fax Number: | 7812740269 |
Mailing Address: | 1475 Massachusetts Ave, Unit 460 LEXINGTON |
State: | MA |
Postal Code: | 024203805 |
Phone Number: | 7812740268 |
Fax Number: | 7812740269 |
NPI Enumeration Date: | 01/16/2006 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |