Individual
MS. KATHRYN MEGAN SCARLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KATE SCARLATA
Contact information
Practice address
1832 CENTRE ST, WEST ROXBURY, MA 02132-1901
(508) 740-2956
Mailing address
11 PINE ST, MEDWAY, MA 02053-1113
(508) 533-3190
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39440
HARVARD PILGRIM
MA
01
—
799235
TUFTS HEALTH PLAN
MA
01
—
LD0103
BLUE CROSS BLUE SHIELD
MA
01
—
LDN1288
MASS. LICENSE
MA
Enumeration date
01/13/2007
Last updated
07/08/2007
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