Organization
ADVANCED HEALTH SPORTS & OCCUPATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN MALKIEL DC (PRESIDENT)
(203) 348-0123
Entity
Organization
Contact information
Practice address
970 SUMMER ST, STAMFORD, CT 06905-5542
(203) 348-0123
(203) 348-5678
Mailing address
970 SUMMER ST, STAMFORD, CT 06905-5542
(203) 348-0123
(203) 348-5678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001237
CT
Other
Enumeration date
08/01/2006
Last updated
09/23/2011
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