Individual
ANDREW J PESALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 386-9100
(203) 375-3963
Mailing address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 386-9100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2200
CT
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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