Individual
MADISON FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-3791
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-3791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1405
CT
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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