| NPI | 1033542204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE M SUDOWSKI Sole Member 860-442-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 111NI0900X Chiropractor, Internist | |
| 111NN1001X Chiropractor, Nutrition | |
| 111NR0400X | |
| 111NX0800X Chiropractor, Orthopedic | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |