| NPI | 1467860635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLOS BOGHOSIAN Memeber 860-278-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001313) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001584) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |