Most Relevant Information
Provider Data
| NPI Number: | 1003487927 |
| Provider Name: | NATALIYA PUTNAM RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2021 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
33 KNEELAND RD
NEW HAVEN
CT
065125006
Practice Location Phone/Fax
| Phone: | 7813159185 |
| Fax: |
Provider Mailing Location
8 PINE GLEN TER
WALLINGFORD
CT
064922539
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |