Provider Demographics
NPI:1639667538
Name:OROSZ, DEBORAH K (RD-N)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:OROSZ
Suffix:
Gender:F
Credentials:RD-N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NUTMEG LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-1611
Mailing Address - Country:US
Mailing Address - Phone:860-371-5881
Mailing Address - Fax:
Practice Address - Street 1:2 TUNXIS RD STE 203
Practice Address - Street 2:
Practice Address - City:TARIFFVILLE
Practice Address - State:CT
Practice Address - Zip Code:06081
Practice Address - Country:US
Practice Address - Phone:860-371-5881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1647133VN1006X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1647OtherCT DIETITICIAN/NUTRITIONIST LICENSE