Provider Demographics
NPI:1669201521
Name:SALAMON, MEGHAN (RD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SALAMON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 QUEENSBERRY ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5001
Mailing Address - Country:US
Mailing Address - Phone:908-310-7319
Mailing Address - Fax:
Practice Address - Street 1:50 STANIFORD ST STE 430
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2541
Practice Address - Country:US
Practice Address - Phone:617-726-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86298926133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered