| Northeast Dietitian Llc | |
|
192 Stoddard Ave, Newington, CT 06111-1914 | |
| (360) 888-9293 | |
| Not Available |
| Full Name | Northeast Dietitian Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 192 Stoddard Ave, Newington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588357883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dietitian Llc 192 Stoddard Ave, Newington, CT 06111-1914 Ph: (360) 888-9293 | Northeast Dietitian Llc 192 Stoddard Ave, Newington, CT 06111-1914 Ph: (360) 888-9293 |
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