Organization
BETSY CRISAFULLI NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY FISHER CRISAFULLI MS, RD, CDN (OWNER)
(919) 630-2890
Entity
Organization
Contact information
Practice address
100 QUEEN ST, SUITE 4G, SOUTHINGTON, CT 06489-2052
(860) 863-4601
Mailing address
251 S END RD, PLANTSVILLE, CT 06479-1822
(919) 630-2890
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
962
CT
Other
Enumeration date
08/15/2012
Last updated
10/27/2012
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