| NPI | 1225516305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINKI SHAH Business Manager 860-763-0208 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 001390) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |