Ms Michelle Tavares, RD | |
1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 | |
(201) 704-4654 | |
Not Available |
Full Name | Ms Michelle Tavares |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 10 Years |
Location | 1100 Avenue At Port Imperial Apt 910, Weehawken, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891145892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vanguard Medical Group Pa | 5092751842 | 56 |
Provider Name | Vanguard Medical Group Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073674412 PECOS PAC ID: 5092751842 Enrollment ID: O20050701000022 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle Tavares, RD 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 Ph: (201) 704-4654 | Ms Michelle Tavares, RD 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086-6303 Ph: (201) 704-4654 |
Alycea Harrison, MS, RD, CDN, CNSC, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Harbor Blvd Apt 2410, Weehawken, NJ 07086 Phone: 973-216-6141 | |
Tavares Medical Nutrition Therapy Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Avenue At Port Imperial Apt 910, Weehawken, NJ 07086 Phone: 201-704-4654 | |
Onesol Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 407 Gregory Ave, Weehawken, NJ 07086 Phone: 201-325-0151 Fax: 201-325-0152 | |
Mrs. Soledad Hearon, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 407 Gregory Ave, Weehawken, NJ 07086 Phone: 201-325-0151 Fax: 201-325-0152 |