Individual
ANNA JASONIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
77 MASS AVE, MEDICAL E23-395, CAMBRIDGE, MA 02139-4301
(617) 253-0556
Mailing address
PO BOX 425789, MEDICAL E23-395, CAMBRIDGE, MA 02142-0015
(617) 253-0556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
723922
MA
Other
Enumeration date
02/23/2006
Last updated
12/23/2015
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