Individual
CHERYL LEA ROBACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
111 GOOSE LN, YNHH SHORELINE MEDICAL CENTER, GUILFORD, CT 06437-5101
(203) 453-7199
(203) 688-2141
Mailing address
1050 CHAPEL ST, STRATFORD, CT 06614-1645
(203) 378-8754
(203) 378-8754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
661901
CREDENTIAL FOR RD
CT
Enumeration date
04/25/2007
Last updated
07/08/2007
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