Doctor Name: | MRS. MARCIA E GOLDSHOLL |
NPI Number: | 1891761235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, MA, CD-N |
License Number: | 000435 |
Business Practice Address: | 57 Old Kings Rd Avon, CT - 060012300 |
Business Phone Number: | 8606758363 |
Business Fax Number: | |
Mailing Address: | 57 Old Kings Rd, AVON |
State: | CT |
Postal Code: | 060012300 |
Phone Number: | 8606758363 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 000435 |
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 |