Individual
KRISTA HOLLINSHEAD FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
365 MONTAUK AVE, LAWRENCE AND MEMORIAL HOSPITAL FOOD AND NUTRITION DEPT, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
365 MONTAUK AVENUE, LAWRENCE AND MEMORIAL HOSPITAL FOOD AND NUTRITION DEPT, NEW LONDON, CT 06320-4769
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000652
CT
Other
Enumeration date
06/10/2011
Last updated
05/12/2017
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