Doctor Name: | ANGELA CORCORAN |
NPI Number: | 1033506324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D.N |
License Number: | 03-175723 |
Business Practice Address: | 3 Farm Glen Blvd Farmington, CT - 060321981 |
Business Phone Number: | 8602845200 |
Business Fax Number: | |
Mailing Address: | 20 Blacksmith Dr, MIDDLETOWN |
State: | CT |
Postal Code: | 064572072 |
Phone Number: | 8603013806 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 03-175723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |