Active NPIIndividual providerSole proprietor

Mr. John J Cannava Jr., LDRD

Dietitian, Registered in Woburn, Massachusetts

NPI Number1669623088
Practice location
186 Cambridge RD, Suite #11, Woburn, MA 01801
Fax
781-938-7412
Last updated
October 3, 2008

John Joseph Cannava is a Dietitian, Registered based in Woburn, MA. John Joseph Cannava practices in Woburn, MA and has the professional credentials of LDRD. The NPI Number for John Joseph Cannava is 1669623088 and holds a License No. 266 (MA). The current practice location address for John Joseph Cannava is 186 Cambridge RD, Suite #11, Woburn, MA 01801 and can be reached out via phone at 781-938-6392 and via fax at 781-938-7412.

Provider Profile Details

NPI Number
1669623088
Provider Name
John Joseph Cannava
Credential
LDRD
Provider Entity Type
Individual
Gender
Male
Address
186 Cambridge RD, Suite #11, Woburn, MA 01801
Phone Number
781-938-6392
Fax Number
781-938-7412
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2008
Last Update Date
October 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Cambridge RD
Suite #11
Woburn, MA 01801
City
Woburn
Zip
01801
Phone Number
781-938-6392
Fax Number
781-938-7412
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
186 Cambridge RD
Suite #11
Woburn, MA 01801
City
Woburn
State
MA
Zip
01801
Phone Number
781-938-6392
Fax Number
781-938-7412

License Information

License Number
266
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. John J Cannava Jr., LDRD?

The NPI number of Mr. John J Cannava Jr., LDRD is 1669623088. It was assigned on October 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. John J Cannava Jr., LDRD?

Mr. John J Cannava Jr., LDRD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 266.

Where does Mr. John J Cannava Jr., LDRD practice?

The practice location is 186 Cambridge RD, Suite #11, Woburn, MA 01801. The office can be reached at 781-938-6392 (phone) or 781-938-7412 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669623088 directly on the NPPES registry website.

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