Violet Pastorkova-jaouen, | |
1625 Straits Tpke Ste 200, Middlebury, CT 06762-1836 | |
(203) 758-1004 | |
(203) 575-2151 |
Full Name | Violet Pastorkova-jaouen |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1625 Straits Tpke Ste 200, Middlebury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679077754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 998 (Connecticut) | Primary |
Provider Name | Prospect Ct Medical Foundation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
Mailing Address | Practice Location Address |
---|---|
Violet Pastorkova-jaouen, 1625 Straits Tpke Ste 211, Middlebury, CT 06762-1836 Ph: (203) 573-9512 | Violet Pastorkova-jaouen, 1625 Straits Tpke Ste 200, Middlebury, CT 06762-1836 Ph: (203) 758-1004 |
Mr. Matthew Arnone, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Yale Ave, Middlebury, CT 06762 Phone: 203-232-0064 | |
Julee Guinipero, RDN, LDN, CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 450 Watertown Rd, Middlebury, CT 06762 Phone: 203-586-9464 | |
Alliance Medical Group, Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1625 Straits Turnpike, Suite 110, Middlebury, CT 06762 Phone: 203-758-8107 Fax: 203-575-5226 | |
Sarah Ollayos, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2030 Straits Tpke, Middlebury, CT 06762 Phone: 203-558-1143 | |
Nicole Zamani, RD, CD-N Dietitian Medicare: Medicare Enrolled Practice Location: 590 Middlebury Rd Ste A, Middlebury, CT 06762 Phone: 203-528-4718 | |
Deana S Boucher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 590 Middlebury Rd, Middlebury, CT 06762 Phone: 203-758-1004 Fax: 203-758-1551 |