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Individual

SOPHIA C KAMVERIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DIETITIAN

Contact information

Practice address
22 MILL ST, SUITE 105, ARLINGTON, MA 02476-4784
(617) 515-8984
(781) 274-0269
Mailing address
1475 MASSACHUSETTS AVE, UNIT 460, LEXINGTON, MA 02420-3805
(781) 274-0268
(781) 274-0269

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1137
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1703129
CIGNA
MA
01
39464
HARVARD PILGIM HEALTH CAR
MA
01
470011
TUFT'S TOTAL HEALTH PLAN
MA
01
7541546
AETNA
CT
01
LD0121
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/16/2006
Last updated
10/07/2010
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