Individual
MRS. MARY JO HANNA FARRELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
267 GRANT ST, DIABETES EDUCATION CENTER, BRIDGEPORT, CT 06610-5000
(203) 336-7305
(203) 384-4274
Mailing address
267 GRANT ST, DIABETES EDUCATION CENTER, BRIDGEPORT, CT 06610-5000
(203) 336-7305
(203) 384-4274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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