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Organization

MUTHERSBAUGH CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN MICHAEL MUTHERSBAUGH DC (PRESIDENT)
(203) 333-7100
Entity
Organization

Contact information

Practice address
1495 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4165
(203) 333-7100
(203) 333-0811
Mailing address
1495 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4165
(203) 333-7100
(203) 333-0811

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
111NR0400X
Rehabilitation Chiropractor
Primary

Other

Enumeration date
06/30/2009
Last updated
10/08/2009
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