Individual
MR. MARC O'MEARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
25 BOYLSTON ST, SUITE 312, CHESTNUT HILL, MA 02467-1715
(978) 337-1059
(978) 486-3768
Mailing address
136 MILL RD, LITTLETON, MA 01460-1548
(978) 486-3578
(978) 486-3768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1179
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD0203
BCBS
MA
Enumeration date
07/25/2006
Last updated
04/22/2011
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