Individual
DR. MARITA GARGIULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD, CDN
Contact information
Practice address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 248-8047
(203) 248-8047
Mailing address
255 HILL ST, HAMDEN, CT 06514-1521
(203) 248-8047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000020
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270000020CT01
ANTHEM BCBS
CT
01
—
714375
CONNECTICARE
CT
01
—
P817491
OXFORD
CT
Enumeration date
01/08/2007
Last updated
05/31/2013
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