Provider Demographics
NPI:1235341108
Name:JABR, REEM (MA RD LDN)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:JABR
Suffix:
Gender:F
Credentials:MA RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 2ND AVE
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1127
Mailing Address - Country:US
Mailing Address - Phone:781-487-4040
Mailing Address - Fax:
Practice Address - Street 1:52 2ND AVE
Practice Address - Street 2:SUITE 2000
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1127
Practice Address - Country:US
Practice Address - Phone:781-487-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered