Jennifer L Bonczek, RD
Dietitian, Registered in Medford, Massachusetts
1578515169- Practice location
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone
- 617-629-6444
- Fax
- —
- Last updated
- September 28, 2009
Jennifer L. Bonczek is a Dietitian, Registered based in Medford, MA. Jennifer L. Bonczek practices in Medford, MA and has the professional credentials of RD. The NPI Number for Jennifer L. Bonczek is 1578515169 and holds a License No. 2385 (MA). The current practice location address for Jennifer L. Bonczek is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 617-629-6444.
Provider Profile Details
- NPI Number
- 1578515169
- Provider Name
- Jennifer L. Bonczek
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone Number
- 617-629-6444
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2006
- Last Update Date
- September 28, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4754
- Phone Number
- 617-629-6444
Provider Business Mailing Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- MA
- Zip
- 02155-4754
- Phone Number
- 781-306-5190
License Information
- License Number
- 2385
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Medford, MA
View all Dietitian, Registered providers in Medford →- Alexandra Larcom, RDDietitian, Registered · NPI 1538023106
- Brooke Caplinger, RDNDietitian, Registered · NPI 1871470641
- Camryn FedeliDietitian, Registered · NPI 1851278279
- Denise Barra, RDDietitian, Registered · NPI 1306816798
- Elizabeth L Dias, RD, LDNDietitian, Registered · NPI 1659500874
- Evergreen Nutrition LLCDietitian, Registered · NPI 1033936570
Frequently Asked Questions
What is the NPI number of Jennifer L Bonczek, RD?
The NPI number of Jennifer L Bonczek, RD is 1578515169. It was assigned on May 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Bonczek, RD?
Jennifer L Bonczek, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2385.
Where does Jennifer L Bonczek, RD practice?
The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 617-629-6444 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578515169 directly on the NPPES registry website.