Kristine Miklos, | |
529 Main St Ofc 334, Charlestown, MA 02129-1125 | |
(617) 999-3896 | |
(877) 743-5351 |
Full Name | Kristine Miklos |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 529 Main St Ofc 334, Charlestown, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528627528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 4694 (Massachusetts) | Primary |
Provider Name | Nutrition In Motion |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20201104000480 |
Mailing Address | Practice Location Address |
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Kristine Miklos, 165 Cambridge St Ste 402, Boston, MA 02114-2750 Ph: (617) 726-2779 | Kristine Miklos, 529 Main St Ofc 334, Charlestown, MA 02129-1125 Ph: (617) 999-3896 |
Mrs. Michelle Mccool, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 38 Belmont St, #1, Charlestown, MA 02129 Phone: 978-314-2628 | |
Alexandra Beall Harvey, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 43 Chestnut St, Charlestown, MA 02129 Phone: 617-444-9976 | |
Rosanne Walsh, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29 Mystic St, Charlestown, MA 02129 Phone: 617-702-2732 | |
Alicia Orr, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9 Kelley Ct, Charlestown, MA 02129 Phone: 617-922-4266 | |
Ms. Paula Frances Reveliotis, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 122 Bartlett St, Charlestown, MA 02129 Phone: 617-241-5554 |