| |
19 Cornell Rd, New Fairfield, CT 06812-3106 | |
(203) 512-7781 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 19 Cornell Rd, New Fairfield, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1548716475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 03-346309 (Connecticut) | Primary |
Mailing Address | Practice Location Address |
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19 Cornell Rd, New Fairfield, CT 06812-3106 Ph: (203) 512-7781 | 19 Cornell Rd, New Fairfield, CT 06812-3106 Ph: (203) 512-7781 |
Judy Ellen Prager, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19 Cornell Rd, New Fairfield, CT 06812 Phone: 203-512-7781 |