Provider Demographics
NPI:1710417878
Name:MCGANN, MEGHAN (RDN, LD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MCGANN
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CENTRE AVE # 255
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-2613
Mailing Address - Country:US
Mailing Address - Phone:508-443-4262
Mailing Address - Fax:
Practice Address - Street 1:30 SURREY LN
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-3109
Practice Address - Country:US
Practice Address - Phone:508-443-4262
Practice Address - Fax:508-233-2178
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4320133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered