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720 Hopmeadow St Ste 4, Simsbury, CT 06070-2224 | |
(860) 324-8963 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 720 Hopmeadow St Ste 4, Simsbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235739574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Amy G Woodman |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1417580614 PECOS PAC ID: 0547620916 Enrollment ID: I20230717002394 |
Mailing Address | Practice Location Address |
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1 Silver Brook Ln, North Granby, CT 06060-1111 Ph: (860) 324-8963 | 720 Hopmeadow St Ste 4, Simsbury, CT 06070-2224 Ph: (860) 324-8963 |
Michelle R Irvin, RD CDE Dietitian Medicare: Medicare Enrolled Practice Location: 7 Higate Ln, Simsbury, CT 06070 Phone: 402-612-4097 | |
Mrs. Lisa Hope Cooperman, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Wilcox St, Simsbury, CT 06070 Phone: 860-830-7855 |