| Betsy Crisafulli Nutrition | |
|
100 Queen St Suite 4g Southington CT 06489-2052 | |
| (860) 863-4601 | |
| Not Available |
| Full Name | Betsy Crisafulli Nutrition |
|---|---|
| Speciality | Clinic/center |
| Location | 100 Queen St, Southington, Connecticut |
| Authorized Official Name and Position | Betsy Fisher Crisafulli (OWNER) |
| Authorized Official Contact | 9196302890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Betsy Crisafulli Nutrition 251 S End Rd Plantsville CT 06479-1822 Ph: (919) 630-2890 | Betsy Crisafulli Nutrition 100 Queen St Suite 4g Southington CT 06489-2052 Ph: (860) 863-4601 |
| NPI Number | 1568710002 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 10/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568710002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 962 (Connecticut) | Primary |
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