| Jennifer L Bonczek, RD | |
|
26 City Hall Mall, Medford, MA 02155-4754 | |
| (617) 629-6444 | |
| Not Available |
| Full Name | Jennifer L Bonczek |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 26 City Hall Mall, Medford, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578515169 | NPI | - | NPPES |
| 0037904 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 680078 | Other | MA | TUFTS HEALTH PLAN |
| AA59315 | Other | MA | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2385 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Bonczek, RD 26 City Hall Mall, Medford, MA 02155-4754 Ph: (781) 306-5190 | Jennifer L Bonczek, RD 26 City Hall Mall, Medford, MA 02155-4754 Ph: (617) 629-6444 |
Evergreen Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Emerald St, Medford, MA 02155 Phone: 857-496-5142 | |
Brittany Lauren Berger, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3610 Mystic Valley Pkwy Apt N1411, Medford, MA 02155 Phone: 914-497-6939 | |
Nancy Maddox, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 75 Riverside Ave, Medford, MA 02155 Phone: 781-396-6221 | |
Lisa Ferreira Gormley, MS, RD, LDN, CWPM Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 617-629-6444 | |
Mrs. Kathleen Anne Butler, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 75 Riverside Ave, Suite 3, Medford, MA 02155 Phone: 781-396-6221 Fax: 781-395-7716 | |
Denise Barra, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 617-629-6444 |