IndividualActive
Jerad Dumolt
NPI 1700699816 · Obesity and Weight Management Nutrition Registered Dietitian · Boston, MA
Provider details
- NPI number
- 1700699816
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDN7037 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
732 Harrison Ave
Boston, MA 02118-2309
Phone: (281) 636-9926
Approximate (ZIP-level) locationGet directions
Mailing address
1 Nashua St Apt 1409
Boston, MA 02114-1618
Additional practice locations (1)
- 1 Nashua St Apt 1409Boston, MA 02114-1618Phone: (281) 636-9926
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.