NPI | 1134225295 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS F CLUKEY Clinic Director 203-271-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 000277) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 000247) |
207R00000X Internal Medicine (Licence: CT 000478) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2020-08-22 |