Individual
RENEE J BORDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CPT
Contact information
Practice address
66 CEDAR ST, STE 305, NEWINGTON, CT 06111-2655
(860) 978-9449
(860) 523-0141
Mailing address
66 CEDAR ST, STE 305, NEWINGTON, CT 06111-2655
(860) 978-9449
(860) 523-0141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000472
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270000472CT09
ANTHEM BLUE CROSS BLUE SHIELD
CT
01
—
7982509
AETNA
CT
Enumeration date
06/22/2005
Last updated
05/09/2016
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