Krista Hollinshead Fogarty, RD | |
365 Montauk Ave, Lawrence And Memorial Hospital Food And Nutrition Dept, New London, CT 06320-4700 | |
(860) 442-0711 | |
Not Available |
Full Name | Krista Hollinshead Fogarty |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649565334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 000652 (Connecticut) | Primary |
Provider Name | Hartford Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
Mailing Address | Practice Location Address |
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Krista Hollinshead Fogarty, RD 365 Montauk Avenue, Lawrence And Memorial Hospital Food And Nutrition Dept, New London, CT 06320-4769 Ph: (860) 442-0711 | Krista Hollinshead Fogarty, RD 365 Montauk Ave, Lawrence And Memorial Hospital Food And Nutrition Dept, New London, CT 06320-4700 Ph: (860) 442-0711 |
Gut Well Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 37 Fitch Ave, New London, CT 06320 Phone: 301-908-5761 | |
Barbara T. Corvello, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-4737 Fax: 860-444-4775 | |
Deborah M. Peterson, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-4737 Fax: 860-444-4775 | |
Nathan E. Nava, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4775 | |
Ashley Rees Mooney, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 Shaws Cv, New London, CT 06320 Phone: 860-705-0820 | |
Carlee Lynn Putnam, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-444-4737 |