| Ms Leslie Rathfon Mattimore, MS, RD, LDN | |
|
300 Longwood Ave, Boston, MA 02115-5724 | |
| (607) 341-3864 | |
| Not Available |
| Full Name | Ms Leslie Rathfon Mattimore |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669725123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3366 (Massachusetts) | Primary |
| Provider Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918 |
| Provider Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leslie Rathfon Mattimore, MS, RD, LDN 300 Longwood Ave, Boston Children's Hospital, Boston, MA 02115-5724 Ph: (607) 341-3864 | Ms Leslie Rathfon Mattimore, MS, RD, LDN 300 Longwood Ave, Boston, MA 02115-5724 Ph: (607) 341-3864 |
Keiko Ueda, MPH, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 Washington St, Tnemc Box#434, Boston, MA 02111 Phone: 617-636-5458 Fax: 617-636-0745 | |
Kara Lydon, RD, LDN, RYT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Newbury St, Third Floor, Boston, MA 02116 Phone: 716-200-3236 | |
Michelle Boutet, RDN, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Fl 10, Boston, MA 02114 Phone: 617-643-5903 | |
Zoe Plastaras, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave Bldg Basement, Boston, MA 02215 Phone: 617-667-2565 | |
Liana Sans, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Alexis Madej, M.S., R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 Washington St, Frances Stern Nutrition Center, Boston, MA 02111 Phone: 617-636-5273 | |
Major League Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 New Chardon St, Boston, MA 02114 Phone: 617-582-9485 |