Individual
MR. JUSTIN AARON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CDN
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3086
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3086
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CT
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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