Mary Jo Hanna Farrelly in Bridgeport - Dietitian, Registered

Mary Jo Hanna Farrelly - NPI 1679757900

Mary Jo Hanna Farrelly is a Dietitian, Registered in Bridgeport, Connecticut. Mary Jo Hanna Farrelly practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Jo Hanna Farrelly is 1679757900. The last update date is 2007-12-21.

Mary Jo Hanna Farrelly's current location address is 267 Grant St, Bridgeport, Connecticut. You can contact this provider via phone number 2033367305 and fax number 2033844274. The mailing address for Mary Jo Hanna Farrelly is 267 Grant St, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jo Hanna Farrelly
Address 267 Grant St, Bridgeport, Connecticut
Phone Number 2033367305
Fax Number 2033844274
Sole Proprietor Y
Credentials RD, CDE

NPI Number Detail

NPI Number 1679757900
Provider Enumeration Date 2007-12-21
Last Updated Date 2007-12-21

Provider Mailing Address Detail

Address 267 Grant St
City Bridgeport
State Connecticut (CT)
Post Code 66105000
Phone Number 2033367305
Fax Number 2033844274

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Mary Jo Hanna Farrelly

What is the Mary Jo Hanna Farrelly's 1679757900?

The Mary Jo Hanna Farrelly's NPI (National Provider Identifier) Number is 1679757900. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Jo Hanna Farrelly?

The Mary Jo Hanna Farrelly is physically situated at 267 Grant St, in the city of Bridgeport, state of CT, with the postal code 66105000.

What is Mary Jo Hanna Farrelly's area of expertise and its corresponding taxonomy classification?

The Mary Jo Hanna Farrelly's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1679757900 assigned to Mary Jo Hanna Farrelly?

The Mary Jo Hanna Farrelly was issued its 1679757900 on 2007-12-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Mary Jo Hanna Farrelly's details last updated?

The information pertaining to the Mary Jo Hanna Farrelly, including its address, specialty, and other details, was most recently updated on 2007-12-21.

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