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Individual

MS. CHRISTINE RUZICKA EDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 830-4180
Mailing address
9 OAK RIDGE AVE, DANBURY, CT 06810-6315
(203) 788-1423

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1024
CT
133V00000X
Registered Dietitian
6639
NY

Other

Enumeration date
07/20/2014
Last updated
07/20/2014
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