| Nancy Maddox, RD | |
|
75 Riverside Ave, Medford, MA 02155-4600 | |
| (781) 396-6221 | |
| Not Available |
| Full Name | Nancy Maddox |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 75 Riverside Ave, Medford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073733804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 630 (Massachusetts) | Primary |
| Provider Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Provider Name | Steward Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Provider Name | Steward Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Maddox, RD 960 Massachusetts Ave, Boston, MA 02118-2620 Ph: (617) 414-4505 | Nancy Maddox, RD 75 Riverside Ave, Medford, MA 02155-4600 Ph: (781) 396-6221 |
Evergreen Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Emerald St, Medford, MA 02155 Phone: 857-496-5142 | |
Lisa Ferreira Gormley, MS, RD, LDN, CWPM Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 617-629-6444 | |
Mrs. Kathleen Anne Butler, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 75 Riverside Ave, Suite 3, Medford, MA 02155 Phone: 781-396-6221 Fax: 781-395-7716 | |
Denise Barra, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 617-629-6444 | |
Alexandra Larcom, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 42 Gaston St, Medford, MA 02155 Phone: 954-328-9287 | |
Jennifer L. Bonczek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 617-629-6444 |