Individual
DIANA E ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
330 ORCHARD ST, SUITE 307, NEW HAVEN, CT 06511-4417
(203) 606-4949
(410) 861-6262
Mailing address
1178 MOOSE HILL RD, GUILFORD, CT 06437-2394
(203) 606-4949
(410) 861-6262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
852206
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270000453CT01
ANTHEM BCBS
CT
Enumeration date
07/03/2006
Last updated
02/28/2011
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