Organization
CANDLEWOOD CHIROPRACTIC CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ROUGHLEY (PRESIDENT)
(203) 775-5003
Entity
Organization
Contact information
Practice address
247 FEDERAL RD, BROOKFIELD, CT 06804-2630
(203) 775-5003
Mailing address
247 FEDERAL RD, BROOKFIELD, CT 06804-2630
(203) 775-5003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1284
CT
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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