| NPI | 1659482719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL D CARAM Owner 203-748-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 906) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X06581) |
| 111N00000X Chiropractor (Licence: CA 20541) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-24 |