Individual
MRS. MARYANN MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.R.D.C.D.E.C.D.-N
Contact information
Practice address
53 OAKDALE CIR, WALLINGFORD, CT 06492-5700
(203) 265-9756
(203) 265-3411
Mailing address
53 OAKDALE CIR, WALLINGFORD, CT 06492-5700
(203) 265-9756
(203) 265-3411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000015
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270000015CT01
ANTHEM BLUE CROSS
CT
01
—
716534
CONNECTICARE
CT
01
—
P2728328
OXFORD
CT
Enumeration date
09/27/2006
Last updated
07/08/2007
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