Individual
DR. MARK E O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
78 BEAVER RD, SUITE 2A, WETHERSFIELD, CT 06109-2295
(860) 257-9400
(860) 257-7169
Mailing address
78 BEAVER RD, SUITE 2A, WETHERSFIELD, CT 06109-2295
(860) 257-9400
(860) 257-7169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT000731
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000731CT01
ANTHEM BLUE CROSS
CT
01
—
2V2010
HEALTHNET
CT
01
—
4590708
ENVOY/AETNA
CT
01
—
519710
AETNA
CT
01
—
682637
CONNECTICARE
CT
Enumeration date
08/31/2006
Last updated
11/18/2010
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