Provider Demographics
NPI:1871035493
Name:FALETRA, MEGAN CHRISTINE (MS, MPH, RDN)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CHRISTINE
Last Name:FALETRA
Suffix:
Gender:F
Credentials:MS, MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 MYRTLE ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-4824
Mailing Address - Country:US
Mailing Address - Phone:781-820-4004
Mailing Address - Fax:
Practice Address - Street 1:76 MYRTLE ST
Practice Address - Street 2:APT 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4824
Practice Address - Country:US
Practice Address - Phone:781-820-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered