Autumn Makowski, | |
535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | |
(508) 961-0695 | |
Not Available |
Full Name | Autumn Makowski |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 535 Faunce Corner Rd, Dartmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598305856 | NPI | - | NPPES |
2934 | Other | MA | BOARD OF REGISTRATION FOR DIETITIAN AND NUTRTIONIST |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2934 (Massachusetts) | Primary |
Provider Name | Steward St. Annes Hospital Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932411493 PECOS PAC ID: 3678760493 Enrollment ID: O20101206001124 |
Provider Name | Steward Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
Mailing Address | Practice Location Address |
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Autumn Makowski, 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 Ph: (508) 961-0695 | Autumn Makowski, 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 Ph: (508) 961-0695 |
Mrs. Pamela D Bermudez, RD,LDN,CDE Dietitian Medicare: Medicare Enrolled Practice Location: 3 Leeward Ln, Dartmouth, MA 02748 Phone: 774-526-1586 Fax: 508-996-4783 | |
Crua Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 74 Faunce Corner Rd Ste 630, Dartmouth, MA 02747 Phone: 508-254-5639 |