| NPI | 1003178179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID MASTROBATTISTO Owner/Member 203-245-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1155) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |