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NPI Code Detail

MEDICARE: MRS. CHRISTINA M KAMILARIS RDN, CDN, CSSD, MS

MEDICARE:  MRS. CHRISTINA M KAMILARIS  RDN, CDN, CSSD, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1070488NJ

General Provider Information

NPI Number : 1033732409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA M KAMILARIS RDN, CDN, CSSD, MS
Provider Business Mailing Address
First Line : 408 GROVE ST
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07043-2206
Country : US
Telephone Number : 201-527-8180
Fax Number :
Provider Business Practice Location Address
First Line : 408 GROVE ST
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07043-2206
Country : US
Telephone Number : 201-527-8180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2020
Last Update Date : 05/20/2020

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Directions to “ MRS. CHRISTINA M KAMILARIS RDN, CDN, CSSD, MS” Practice Location

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