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111 New Haven Ave, Derby, CT 06418-2197 | |
(203) 736-6356 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 111 New Haven Ave, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215488515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 001584 (Connecticut) | Primary |
Provider Name | Karlos Boghosian |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104999291 PECOS PAC ID: 9739137134 Enrollment ID: I20050111001106 |
Mailing Address | Practice Location Address |
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24 Lewis St, Hartford, CT 06103-2501 Ph: () - | 111 New Haven Ave, Derby, CT 06418-2197 Ph: (203) 736-6356 |
Dr. David Spadaro, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 New Haven Ave Ste 6, Derby, CT 06418 Phone: 203-736-6356 Fax: 203-308-2048 | |
Dr. Saul Jay Hochman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 24 Derby Ave, Derby, CT 06418 Phone: 203-735-5555 Fax: 203-734-0447 |