Individual
MAYA FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2422
Mailing address
YALE NEW HAVEN HOSPITAL, 20 YORK STREET FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510
(203) 688-2422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2032
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86072074
REGISTERED DIETITIAN
CT
Enumeration date
12/06/2021
Last updated
12/13/2021
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