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Organization
CHIROPRACTIC FIRST
Active
Organization
CHIROPRACTIC FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD J. LOGAN (DR. LOGAN)
(203) 922-1212
Entity
Organization
Contact information
Practice address
1 BRIDGEPORT AVE, SHELTON, CT 06484-3211
(203) 922-1212
(203) 922-1202
Mailing address
1 BRIDGEPORT AVE, SHELTON, CT 06484-3211
(203) 922-1212
(203) 922-1202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000806CT02
BC/BS
CT
01
—
528408
AETNA
CT
01
—
T00806
LANDMARK
CT
01
—
ZS792
OXFORD
CT
Enumeration date
09/04/2007
Last updated
06/14/2013
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