Emily Bostrom Nutrition Pllc | |
331 Shelton Rd Trumbull CT 06611-5134 | |
(609) 558-2405 | |
Not Available |
Full Name | Emily Bostrom Nutrition Pllc |
---|---|
Speciality | Clinic/center |
Location | 331 Shelton Rd, Trumbull, Connecticut |
Authorized Official Name and Position | Emily Gerdner (OWNER) |
Authorized Official Contact | 6095582405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emily Bostrom Nutrition Pllc 331 Shelton Rd Trumbull CT 06611-5134 Ph: (609) 558-2405 | Emily Bostrom Nutrition Pllc 331 Shelton Rd Trumbull CT 06611-5134 Ph: (609) 558-2405 |
NPI Number | 1508457185 |
---|---|
Provider Enumeration Date | 01/27/2021 |
Last Update Date | 01/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508457185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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