Most Relevant Information
Provider Data
| NPI Number: | 1003359449 |
| Provider Name: | ANIA MITCHELL RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 001072 |
Most Important Dates
| Enumeration Date: | 12/01/2016 |
| Last Updated: | 01/08/2019 |
Provider Practice Location
80 SHUNPIKE RD
UNIT 101A
CROMWELL
CT
064164402
Practice Location Phone/Fax
| Phone: | 2035435786 |
| Fax: |
Provider Mailing Location
101 GREENVIEW TER
MIDDLETOWN
CT
064578741
Provider Mailing Phone/Fax
| Phone: | 2035435786 |
| Fax: |