Individual
MS. MARY MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
400 MANSFIELD ST, NEW HAVEN, CT 06511-2023
(203) 710-6322
Mailing address
400 MANSFIELD ST, NEW HAVEN, CT 06511-2023
(203) 710-6322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000718
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442444
ADA REGISTRATION NUMBER
—
Enumeration date
07/07/2005
Last updated
07/08/2007
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