BRUCE MANDELBAUM

SOUTHPORT, CT
NPI1730443045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: CT  000122)
Additional Taxonomies225700000X Massage Therapist
Enumeration Date2012-07-02
Last Update Date2012-07-02
Business Address
-- BRUCE MANDELBAUM
3519 POST RD
SOUTHPORT, CT 06890-1180
Phone number: 203-254-2633
Mailing Address
-- BRUCE MANDELBAUM
3519 POST RD
SOUTHPORT, CT 06890-1180
Phone number: 203-254-2633
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