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MS. CHRISTINE RUZICKA EDGE MS, RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1144637349

Individual Registrant:
MS. CHRISTINE RUZICKA EDGE MS, RD
Gender: F
Sole Proprietor

Location and contact information for practice:
13 PARK LAWN DR  BETHEL, CT 06801-1043 US
Tel: 203-830-4180  Fax: --

Contact information for business:
9 OAK RIDGE AVE  DANBURY, CT 06810-6315 US
Tel: 203-788-1423  Fax: --

Registration Information:
NPI: 1144637349
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CT1024
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
NY6639

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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