Individual
CAROL BUCCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-3255
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-6000
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000133
CT
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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