| Jessica Edelglass Rd Llc | |
|
1121 Washington St Ste 4, Newton, MA 02465-2150 | |
| (781) 667-4440 | |
| Not Available |
| Full Name | Jessica Edelglass Rd Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1121 Washington St Ste 4, Newton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366931610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3852 (Massachusetts) | Primary |
| Provider Name | Jessica Rose Edelglass |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710363148 PECOS PAC ID: 9436433935 Enrollment ID: I20170301000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Edelglass Rd Llc 137 Myrtle St, Ashland, MA 01721-1140 Ph: (781) 667-4440 | Jessica Edelglass Rd Llc 1121 Washington St Ste 4, Newton, MA 02465-2150 Ph: (781) 667-4440 |
Mrs. Ellenor Emery Barish, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6198 | |
Brendan Michael Smith, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6000 | |
Shannon Cloran, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6000 | |
Vanessa O'toole Supple, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Nutrition And Food Service Department, Newton, MA 02462 Phone: 617-243-6000 | |
Jacqueline Santiago, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Albemarle Rd, Newton, MA 02460 Phone: 508-982-1137 | |
Ms. Julie Katherine Smith, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 31a Jackson Street, Newton, MA 02459 Phone: 617-410-6396 | |
Monica Kashi, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 37 Jefferson St Unit 2, Newton, MA 02458 Phone: 508-266-1191 |