Individual
SOPHIA C KAMVERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITIAN
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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