Organization
SUDOWSKI MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE M SUDOWSKI (SOLE MEMBER)
(860) 442-3180
Entity
Organization
Contact information
Practice address
210 BOSTON POST RD, WATERFORD, CT 06385-2819
(860) 442-3180
(860) 447-9444
Mailing address
210 BOSTON POST RD, WATERFORD, CT 06385-2819
(860) 442-3180
(860) 447-9444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
111NI0900X
Internist Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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