| Bordeaux Nutrition Llc | |
|
66 Cedar St, 305, Newington, CT 06111-2633 | |
| (860) 523-0141 | |
| (860) 523-0141 |
| Full Name | Bordeaux Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 66 Cedar St, Newington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720453814 | NPI | - | NPPES |
| 695189 | Other | CT | CONNECTICARE INC. |
| 3199218 | Other | CT | UNITED HEALTHCARE |
| 7982509 | Other | CT | AETNA |
| P3946637 | Other | CT | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000472 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bordeaux Nutrition Llc 66 Cedar St, Suite 305, Newington, CT 06111-2633 Ph: (860) 523-0141 | Bordeaux Nutrition Llc 66 Cedar St, 305, Newington, CT 06111-2633 Ph: (860) 523-0141 |
Michelle Beglane, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 860-667-6797 | |
Northeast Dietitian Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 192 Stoddard Ave, Newington, CT 06111 Phone: 360-888-9293 | |
Renee J Bordeau, RD, CDN, CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 66 Cedar St, Ste 305, Newington, CT 06111 Phone: 860-978-9449 Fax: 860-523-0141 |