Individual
MR. JOHN JOSEPH CANNAVA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.R.D.
Contact information
Practice address
186 CAMBRIDGE RD, SUITE #11, WOBURN, MA 01801
(781) 938-6392
(781) 938-7412
Mailing address
186 CAMBRIDGE RD, SUITE #11, WOBURN, MA 01801
(781) 938-6392
(781) 938-7412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39478
HARVARD
MA
01
—
LD0064
BLUE CROSS
MA
Enumeration date
10/03/2008
Last updated
10/03/2008
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