Katherine Mott, RD | |
314 Cornelia St Apt A, Boonton, NJ 07005-1881 | |
(908) 752-5636 | |
Not Available |
Full Name | Katherine Mott |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 314 Cornelia St Apt A, Boonton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528603347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Practice Associates Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Katherine Mott, RD 314 Cornelia St Apt A, Boonton, NJ 07005-1881 Ph: (908) 752-5636 | Katherine Mott, RD 314 Cornelia St Apt A, Boonton, NJ 07005-1881 Ph: (908) 752-5636 |
Lotus Nutrition & Wellness Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19 Masar Rd, Boonton, NJ 07005 Phone: 201-919-3905 | |
Priyanka Jonnalagadda, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19 Masar Rd, Boonton, NJ 07005 Phone: 201-919-3905 | |
Jessica Romola, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Rockaway Valley Rd, Boonton, NJ 07005 Phone: 215-915-7631 |