Provider Demographics
NPI:1003067968
Name:SWEENEY, ANNA PEABODY (MS RD, LDN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:PEABODY
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MS RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 CRESCENT ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3436
Mailing Address - Country:US
Mailing Address - Phone:978-273-1749
Mailing Address - Fax:
Practice Address - Street 1:78 JUNCTION SQUARE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3049
Practice Address - Country:US
Practice Address - Phone:978-273-1749
Practice Address - Fax:978-246-0227
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered