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Individual

CHRISTINE E GALLICHOTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
246 FEDERAL RD, UNIT C33B, BROOKFIELD, CT 06804-2647
(203) 775-3536
(203) 740-2725
Mailing address
246 FEDERAL RD, UNIT C33B, BROOKFIELD, CT 06804-2647
(203) 775-3536
(203) 740-2725

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000121
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2456991
AETNA HMO
CT
01
270000121CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
4546925
AETNA
CT
01
P470799
OXFORD HEALTH PLANS
CT
Enumeration date
09/14/2006
Last updated
07/08/2007
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