Provider Demographics
NPI:1588713960
Name:KARL, JAMES PHILIP (MS, RD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PHILIP
Last Name:KARL
Suffix:
Gender:M
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 BEALS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6010
Mailing Address - Country:US
Mailing Address - Phone:617-823-8074
Mailing Address - Fax:
Practice Address - Street 1:42 KANSAS ST
Practice Address - Street 2:BLDNG 30
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2642
Practice Address - Country:US
Practice Address - Phone:508-233-5140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2546133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered