Individual
BRIDGET ANNE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
645 FARMINGTON AVE, HARTFORD, CT 06105-2907
(860) 716-0358
Mailing address
158 BLUE RIDGE DR, VERNON, CT 06066-5835
(860) 716-0358
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
897317
CT
Other
Enumeration date
02/27/2019
Last updated
11/19/2019
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