Individual
EUGENE ANTHONY BOLOGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 GRIST MILL RD, SIMSBURY, CT 06070
(860) 651-4385
(860) 658-0492
Mailing address
769 HOPMEADOW ST, SIMSBURY, CT 06070-2206
(860) 651-4385
(860) 658-0492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001194
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01925271
UNITED HC
—
01
—
050001194CT01
BCBS
—
01
—
0V6088
HEALTHNET
—
01
—
2170497
AETNA
—
01
—
4404312
UTC
—
01
—
706158
CONNECTICARE
—
01
—
P2111736
OXFORD
—
Enumeration date
11/03/2006
Last updated
11/08/2024
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