Doctor Name: | MS. ELVIRA QUIROGA JOHNSON |
NPI Number: | 1407949043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,R.D.,C.D.E.,LDN |
License Number: | NU850 |
Business Practice Address: | 15 Commonwealth Ave Neighborhood Diabetes Woburn, MA - 018015193 |
Business Phone Number: | 8667845647 |
Business Fax Number: | 7812461978 |
Mailing Address: | 14 Flint Street, NORTH READING |
State: | MA |
Postal Code: | 01864 |
Phone Number: | 9786643093 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | NU850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |