MEDICARE: MS. CINDY ELIZABETH MCAULIFFE DTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	136A00000X	Registered Dietetic Technician	1012275	CT

General Provider Information

NPI Number	:	1881168193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDY ELIZABETH MCAULIFFE DTR

Provider Business Mailing Address
First Line	:	13 BARWOOD MNR
Second Line	:
City	:	UNIONVILLE
State	:	CT
Zip	:	06085-1211
Country	:	US
Telephone Number	:	860-212-9435
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 BARWOOD MNR
Second Line	:
City	:	UNIONVILLE
State	:	CT
Zip	:	06085-1211
Country	:	US
Telephone Number	:	860-212-9435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2019
Last Update Date	:	01/20/2019

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