Provider Demographics
NPI:1194751560
Name:SIMARD, SARA MICHELLE (RD LDN)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:MICHELLE
Last Name:SIMARD
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Gender:F
Credentials:RD LDN
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Mailing Address - Street 1:1704 THAMES ST
Mailing Address - Street 2:APT 3
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3416
Mailing Address - Country:US
Mailing Address - Phone:410-262-3332
Mailing Address - Fax:410-550-0650
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:JOHN HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2780
Practice Address - Country:US
Practice Address - Phone:410-550-1549
Practice Address - Fax:410-550-0650
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD02383133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered