Individual
MS. RENA A BRUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD-N
Contact information
Practice address
72 NORTH ST, STE 205, DANBURY, CT 06810-5648
(914) 320-3197
(203) 743-1110
Mailing address
47 BRIAR RIDGE RD, RIDGEFIELD, CT 06877-1034
(914) 320-3197
(203) 743-1110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001294
CT
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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