Provider Demographics
NPI:1093751661
Name:YUNES, MONICA GERTRUDE (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:GERTRUDE
Last Name:YUNES
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 1:300 CHESTNUT ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2444
Mailing Address - Country:US
Mailing Address - Phone:781-405-7324
Mailing Address - Fax:781-674-0235
Practice Address - Street 1:300 CHESTNUT ST STE 700
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2444
Practice Address - Country:US
Practice Address - Phone:781-405-7324
Practice Address - Fax:781-674-0235
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1260133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALD0125OtherBLUECROSS BLUESHIELD ID#
MA469359OtherTUFTS ID#
MAAA6176OtherHARVARD PILGRIM ID #
MAAA6176OtherHARVARD PILGRIM ID #