Susan Goodine in Burlington - Nutrition, Pediatric
Susan Goodine - NPI 1871712547
Susan Goodine is a Nutrition, Pediatric in Burlington, Connecticut. Susan Goodine practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Susan Goodine is 1871712547. The last update date is 2023-03-28.
Susan Goodine's current location address is 122 Wildcat Rd, Burlington, Connecticut. You can contact this provider via phone number 8602804106. The mailing address for Susan Goodine is 122 Wildcat Rd, Burlington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Goodine |
|---|---|
| Address | 122 Wildcat Rd, Burlington, Connecticut |
| Phone Number | 8602804106 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871712547 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 122 Wildcat Rd |
|---|---|
| City | Burlington |
| State | Connecticut (CT) |
| Post Code | 60132429 |
| Phone Number | 8602804106 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 2528 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Goodine?
The Susan Goodine has been issued the NPI (National Provider Identifier) 1871712547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan Goodine is physically located?
The Susan Goodine is physically situated at the following address: 122 Wildcat Rd, Burlington, CT, 60132429.
What is the area of specialization for Susan Goodine, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Goodine is Nutrition, Pediatric, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1004X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871712547 to Susan Goodine?
The Centers for Medicare & Medicaid Services assigned the 1871712547 to Susan Goodine on 2007-04-24.
As of what date were the details related to Susan Goodine most recently updated or revised?
The information pertaining to Susan Goodine, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-28.
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