Individual
MS. ELVIRA QUIROGA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,C.D.E.,LDN
Contact information
Practice address
15 COMMONWEALTH AVE, NEIGHBORHOOD DIABETES, WOBURN, MA 01801-5193
(866) 784-5647
(781) 246-1978
Mailing address
14 FLINT STREET, NORTH READING, MA 01864
(978) 664-3093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NU850
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469779
TUFTS HEALTH CARE
MA
01
—
LD0129
BCBSMA
MA
Enumeration date
10/02/2006
Last updated
06/17/2010
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