SOUTHPORT CHIROPRACTIC OFFICE, P.C.

FAIRFIELD, CT
NPI1780884973
Entity TypeOrganization
Authorized ContactNICHOLAS S. BOGANNAM S BOGANNAM
President
203-259-4731
Organization Subpart ?No
Primary Taxonomy111NN1001X Chiropractor, Nutrition
Enumeration Date2007-07-25
Last Update Date2010-11-10
Business Address
SOUTHPORT CHIROPRACTIC OFFICE, P.C.
1995 POST RD
FAIRFIELD, CT 06824-5723
Phone number: 203-259-4731
Mailing Address
SOUTHPORT CHIROPRACTIC OFFICE, P.C.
1995 POST RD
FAIRFIELD, CT 06824-5723
Phone number: 203-259-4731
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