Individual
BETH ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-1077
Mailing address
120 ELK DR, SOUTHBURY, CT 06488-4704
(203) 405-3236
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
03-269942
CT
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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