Individual
AMY ELIZABETH CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
59 RANDI DR, MADISON, CT 06443-2463
(203) 988-6302
Mailing address
59 RANDI DR, MADISON, CT 06443-2463
(203) 988-6302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
59.002226
CT
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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