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Organization
GRISWOLD FAMILY CHIROPRACTIC
Active
Organization
GRISWOLD FAMILY CHIROPRACTIC
Active
Other names
Eastern Connecticut Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PETER TAVERNEY JR. D.C. (OWNER/DOCTOR)
(860) 376-4700
Entity
Organization
Contact information
Practice address
141A BROWN AVE, JEWETT CITY, CT 06351-1927
(860) 376-4700
(860) 376-4708
Mailing address
141A BROWN AVE, JEWETT CITY, CT 06351-1927
(860) 376-4700
(860) 376-4708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164692067
NPI # 1164692067
CT
Enumeration date
04/20/2012
Last updated
11/13/2014
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