Individual
MISS KIMBERLY DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3 THORNTON STREET, NEWTON, MA 02458
(617) 332-2777
Mailing address
700 HURON AVE #9B, CAMBRIDGE, MA 02138
(617) 966-6577
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2011
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478989
TUFTS HEALTH PLAN
MA
01
—
AA4501
HARVARD PILGRIM HEALTH CA
MA
Enumeration date
10/03/2006
Last updated
07/08/2007
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