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NPI Code Detail

MEDICARE: MRS. JENNIFER FREITAS CARTER R.D.

MEDICARE: MRS. JENNIFER FREITAS CARTER R.D.
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 Dietitian2249MA

General Provider Information

NPI Number : 1659319499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER FREITAS CARTER R.D.
Provider Business Mailing Address
First Line : 403 BELMONT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01604-1019
Country : US
Telephone Number : 413-463-0598
Fax Number :
Provider Business Practice Location Address
First Line : 110 LIBERTY ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5674
Country : US
Telephone Number : 508-894-0766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 07/01/2025

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