Mary Jo Hanna Farrelly RD, CDE

NPI 1679757900 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1679757900
Gender Female
Enumeration Date 12/21/2007
Last Updated 12/21/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
267 GRANT ST
DIABETES EDUCATION CENTER
BRIDGEPORT CT, 06610-5000, US
Phone (203) 336-7305
Fax (203) 384-4274
Business Location
267 GRANT ST
DIABETES EDUCATION CENTER
BRIDGEPORT CT, 06610-5000, US
Phone (203) 336-7305
Fax (203) 384-4274
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
Remove 1679757900 NPI Number
 

According to our database, Mrs. Mary Jo Hanna Farrelly RD, CDE NPI is 1679757900, taxonomy code is 133V00000X Mary Jo Hanna Farrelly RD, CDE physically located at 267 Grant St, Bridgeport CT, 06610-5000. NPI Number Mary Jo Hanna Farrelly RD, CDE has the Individual type.

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1679757900 NPI number is provided on an as is basis without warranty of any kind. 1679757900 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jo Hanna Farrelly RD, CDE are for informational purposes only.