Organization
SUPERIOR HEALTH CARE OF CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MICHAEL DIDOMIZIO D.C. (MEMBER)
(203) 879-4685
Entity
Organization
Contact information
Practice address
444 WOLCOTT RD, WOLCOTT, CT 06716-2639
(203) 879-4695
(203) 879-4696
Mailing address
444 WOLCOTT RD, WOLCOTT, CT 06716-2639
(203) 879-4695
(203) 879-4696
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
45196
CT
363LA2200X
Adult Health Nurse Practitioner
006279
CT
Other
Enumeration date
02/13/2017
Last updated
05/01/2017
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