Organization
METABOLIC DESIGNS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH CANNAVA JR. L.D.R.D. (LICENSED REGISTERED DIETITIAN)
(781) 938-6392
Entity
Organization
Contact information
Practice address
186 CAMBRIDGE RD, SUITE #11, WOBURN, MA 01801-4793
(781) 938-6392
(781) 938-7412
Mailing address
186 CAMBRIDGE RD, SUITE #11, WOBURN, MA 01801-4793
(781) 938-6392
(781) 938-7412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133V00000X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39478
HARVARD PILGRAM
MA
01
—
LD0064
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/19/2007
Last updated
08/22/2020
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