Individual
MEGAN AZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
333 LONGWOOD AVENUE, CLINICAL NUTRITION DEPARTMENT, BOSTON, MA 02115-5711
(617) 355-6000
Mailing address
333 LONGWOOD AVENUE, CLINICAL NUTRITION DEPARTMENT, BOSTON, MA 02115-5711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN6607
MA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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