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Individual

TERRY ALAN PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
331 CHURCH ST, NAUGATUCK, CT 06770-2806
(203) 729-4047
(203) 723-9103
Mailing address
331 CHURCH ST, NAUGATUCK, CT 06770-2806
(203) 729-4047
(203) 723-9103

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
734
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004152279
CT
01
050000734CT01
ANTHEM BLUE CROSS/BLUE SH
CT
Enumeration date
08/31/2006
Last updated
07/08/2007
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