Laura Wilson, RD | |
1450 Chapel St, New Haven, CT 06511-4405 | |
(203) 789-5979 | |
Not Available |
Full Name | Laura Wilson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1450 Chapel St, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790930923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 000441 (Connecticut) | Primary |
Provider Name | Northeast Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Provider Name | Yale New Haven Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336139500 PECOS PAC ID: 8325935018 Enrollment ID: O20040227000825 |
Mailing Address | Practice Location Address |
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Laura Wilson, RD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-2422 | Laura Wilson, RD 1450 Chapel St, New Haven, CT 06511-4405 Ph: (203) 789-5979 |
Taylor Kingston, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Food And Nutrition Epb806, New Haven, CT 06510 Phone: 203-688-9185 | |
Mrs. Nataliya Putnam, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 33 Kneeland Rd, New Haven, CT 06512 Phone: 781-315-9185 | |
Paulina Rose, RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Church St S, Suite 511, New Haven, CT 06519 Phone: 203-764-9199 Fax: 203-764-9149 | |
Mary Savoye, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2 Church St S, Suite 404, New Haven, CT 06519 Phone: 203-764-6767 Fax: 203-764-6748 | |
Kelly Elizabeth Gaffney, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 374 Grand Ave, New Haven, CT 06513 Phone: 203-777-7411 | |
Madeline Susan Cole, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-7838 | |
Amy Ralph, Dietitian Medicare: Medicare Enrolled Practice Location: Yale New Haven Hospital, 20 York St, New Haven, CT 06510 Phone: 203-688-2422 |