| Medical Nutrition Therapy Associates Llc | |
|
6 Raymond Rd Avon CT 06001-3629 | |
| (860) 677-4429 | |
| (860) 677-4429 |
| Full Name | Medical Nutrition Therapy Associates Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6 Raymond Rd, Avon, Connecticut |
| Authorized Official Name and Position | Sharon Lesley Werner (REGISTERED DIETITIAN) |
| Authorized Official Contact | 8606774429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Nutrition Therapy Associates Llc 6 Raymond Rd Avon CT 06001-3629 Ph: (860) 677-4429 | Medical Nutrition Therapy Associates Llc 6 Raymond Rd Avon CT 06001-3629 Ph: (860) 677-4429 |
| NPI Number | 1932334133 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932334133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0003927994 (Connecticut) | Primary |
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