Individual
ELLEN BRIDGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2600
(203) 573-7566
Mailing address
195 OXFORD ST, HARTFORD, CT 06105-2520
(860) 306-8317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86085958
CT
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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