Individual
MARY SUZANNE IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
520 SAYBROOK RD STE 210, MIDDLETOWN, CT 06457-4700
(603) 582-9708
(860) 347-1630
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-2970
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000377
CT
Other
Enumeration date
09/22/2010
Last updated
09/03/2021
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