Mary S Izzo, RD
Dietitian, Registered in Middletown, Connecticut
1760790968- Practice location
- 520 Saybrook RD Ste 210, Middletown, CT 06457-4700
- Phone
- 603-582-9708
- Fax
- 860-347-1630
- Last updated
- September 3, 2021
Mary Suzanne Izzo is a Dietitian, Registered based in Middletown, CT. Mary Suzanne Izzo practices in Middletown, CT and has the professional credentials of RD. The NPI Number for Mary Suzanne Izzo is 1760790968 and holds a License No. 000377 (CT). The current practice location address for Mary Suzanne Izzo is 520 Saybrook RD Ste 210, Middletown, CT 06457-4700 and can be reached out via phone at 603-582-9708 and via fax at 860-347-1630.
Provider Profile Details
- NPI Number
- 1760790968
- Provider Name
- Mary Suzanne Izzo
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 520 Saybrook RD Ste 210, Middletown, CT 06457-4700
- Phone Number
- 603-582-9708
- Fax Number
- 860-347-1630
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 22, 2010
- Last Update Date
- September 3, 2021
- Certification Date
- September 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 520 Saybrook RD Ste 210
Middletown, CT 06457-4700 - City
- Middletown
- State
- Connecticut
- Zip
- 06457-4700
- Phone Number
- 603-582-9708
- Fax Number
- 860-347-1630
Provider Business Mailing Address Details
- Address
- 28 Crescent St
Middletown, CT 06457-3654 - City
- Middletown
- State
- CT
- Zip
- 06457-3654
- Phone Number
- 860-358-2970
License Information
- License Number
- 000377
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Middletown, CT
View all Dietitian, Registered providers in Middletown →- Caitlin SmithDietitian, Registered · NPI 1750154357
- Luz HagoDietitian, Registered · NPI 1770814105
- Mary Braisted, RDN CDNDietitian, Registered · NPI 1831846203
- Mary L Burbank, RDDietitian, Registered · NPI 1922647601
- Mireille Blacke, MA, RD, CD-NDietitian, Registered · NPI 1861768889
- Ms. Elizabeth J Archambault, REGISTERED DIETITIANDietitian, Registered · NPI 1437375920
Frequently Asked Questions
What is the NPI number of Mary S Izzo, RD?
The NPI number of Mary S Izzo, RD is 1760790968. It was assigned on September 22, 2010 and is currently active in the NPPES registry.
What is the specialty of Mary S Izzo, RD?
Mary S Izzo, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000377.
Where does Mary S Izzo, RD practice?
The practice location is 520 Saybrook RD Ste 210, Middletown, CT 06457-4700. The office can be reached at 603-582-9708 (phone) or 860-347-1630 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760790968 directly on the NPPES registry website.