Individual
MARY BETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
WILLIAM W BACKUS HOSPITAL, 326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
(860) 892-6983
Mailing address
WILLIAM W BACKUS HOSPITAL, 326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
(860) 892-6983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003
CT
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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