Provider Demographics
NPI:1134145162
Name:TANOWITZ, RACHEL JOAN (RD MS CDN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:JOAN
Last Name:TANOWITZ
Suffix:
Gender:F
Credentials:RD MS CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5909
Mailing Address - Country:US
Mailing Address - Phone:203-532-1294
Mailing Address - Fax:
Practice Address - Street 1:6 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5909
Practice Address - Country:US
Practice Address - Phone:203-532-1294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000390133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP817515OtherOXFORD INSURANCE
CT2604961OtherAETNA INSURANCE
CT270000390CT01OtherANTHEM BLUECROSS/BLUESHIE