Provider Demographics
NPI:1023562501
Name:BERMAN-PARE, JULIA ELIZABETH (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:BERMAN-PARE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ELIZABETH
Other - Last Name:BERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:87 NEWFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-1811
Mailing Address - Country:US
Mailing Address - Phone:401-499-8157
Mailing Address - Fax:401-400-7924
Practice Address - Street 1:87 NEWFIELD AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-1811
Practice Address - Country:US
Practice Address - Phone:401-499-8157
Practice Address - Fax:401-400-7924
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3856133V00000X
RILDN00827133V00000X
86027160133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered