Provider Demographics
NPI:1023767035
Name:GOZZI, CHRISTIANNA (RDN)
Entity type:Individual
Prefix:
First Name:CHRISTIANNA
Middle Name:
Last Name:GOZZI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4705
Mailing Address - Country:US
Mailing Address - Phone:203-314-1127
Mailing Address - Fax:
Practice Address - Street 1:21 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4705
Practice Address - Country:US
Practice Address - Phone:203-314-1127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4618133V00000X
CT2266133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered