Organization
SUPERIOR HEALTH CARE OF CT, LLC
Active
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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