Doctor Name: | SHARON S GRAY |
NPI Number: | 1699965772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 000771 |
Business Practice Address: | 65 Kane St Genetics West Hartford, CT - 061192110 |
Business Phone Number: | 8605236464 |
Business Fax Number: | 8605236465 |
Mailing Address: | 263 Farmington Ave, Provider Enrollment FARMINGTON |
State: | CT |
Postal Code: | 060302212 |
Phone Number: | 8606797503 |
Fax Number: | 8606791610 |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 000771 |
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 |