Individual
DR. PAUL MICHAEL DIDOMIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
444 WOLCOTT ROAD, WOLCOTT, CT 06716
(203) 879-4695
(203) 879-4696
Mailing address
444 WOLCOTT ROAD, WOLCOTT, CT 06716
(203) 879-4695
(203) 879-4696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
525
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000525CT02
BLUE CROSS
CT
Enumeration date
07/26/2006
Last updated
07/08/2007
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