Individual
DR. CARLO ANTONINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
259 S BROAD ST, PAWCATUCK, CT 06379-1402
(860) 599-5551
(860) 599-5595
Mailing address
259 S BROAD ST, PAWCATUCK, CT 06379-1402
(860) 599-5551
(860) 599-5595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000799CT01
CT
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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