| Rena Oudan, | |
|
10 Gove St, East Boston, MA 02128-1920 | |
| (617) 569-5800 | |
| (617) 568-4780 |
| Full Name | Rena Oudan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 10 Gove St, East Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952689093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2769 (Massachusetts) | Primary |
| Provider Name | Internal Medical Associates-ebnhc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Provider Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Rena Oudan, 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Rena Oudan, 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Colleen Duddy, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 123 Webster St Apt 1, East Boston, MA 02128 Phone: 978-760-4144 | |
Olivia Camille Batryn, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 75 Leyden St Unit 6, East Boston, MA 02128 Phone: 603-686-2506 |