Healthcare Provider Details

I. General information

NPI: 1992280945
Provider Name (Legal Business Name): JACQUELINE M MUSZYNSKI RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE M MUSZYNSKA RDN, CDN

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 RESEARCH PKWY STE 2
WALLINGFORD CT
06492-1929
US

IV. Provider business mailing address

1224 MILL ST BLDG B227C
EAST BERLIN CT
06023-1159
US

V. Phone/Fax

Practice location:
  • Phone: 860-351-3144
  • Fax:
Mailing address:
  • Phone: 860-351-3144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number001641
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1641
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: