Organization
DOCTOR R MARK PAPPAS, PC
Active
Other names
Pappas Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER MARK PAPPAS D.C. (OWNER)
(203) 937-7246
Entity
Organization
Contact information
Practice address
299 MAIN ST, WEST HAVEN, CT 06516-7307
(203) 937-7246
(203) 931-9266
Mailing address
299 MAIN ST, WEST HAVEN, CT 06516-7307
(203) 937-7246
(203) 931-9266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000575
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000575CT01
ANTHEM BLUE CROSS
CT
Enumeration date
08/05/2007
Last updated
11/16/2007
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