Provider Demographics
NPI:1538793971
Name:BERGER, CARA ANNE (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ANNE
Last Name:BERGER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HARCOURT ST APT 4K
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-6491
Mailing Address - Country:US
Mailing Address - Phone:612-849-9333
Mailing Address - Fax:
Practice Address - Street 1:16 HARCOURT ST APT 4K
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-6491
Practice Address - Country:US
Practice Address - Phone:612-849-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5001133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered