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Organization
OSTEOPATHIC CENTER OF GLASTONBURY PLLC
Active
Organization
OSTEOPATHIC CENTER OF GLASTONBURY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D WADDINGTON DO (MANAGING MEMBER)
(860) 729-4862
Entity
Organization
Contact information
Practice address
78 EASTERN BLVD STE 6, GLASTONBURY, CT 06033-4325
(860) 729-4682
Mailing address
78 EASTERN BLVD STE 6, GLASTONBURY, CT 06033-4325
(860) 729-4682
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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