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Individual

ASHER EAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1014 HIGH RIDGE RD, STAMFORD, CT 06905-1605
(203) 570-3945
Mailing address
82 COVE RD, STAMFORD, CT 06902-5221
(203) 570-3945

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009427
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004271353
CT
Enumeration date
12/28/2020
Last updated
12/28/2020
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