Organization
RIDGEFIELD SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY A PULICK DC (OWNER)
(914) 760-3655
Entity
Organization
Contact information
Practice address
159 DANBURY RD UNIT 105, RIDGEFIELD, CT 06877-3235
(203) 403-6980
(203) 403-6172
Mailing address
159 DANBURY RD UNIT 105, RIDGEFIELD, CT 06877-3235
(203) 403-6980
(203) 403-6172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356704688
—
CT
05
—
D400354364
—
CT
Enumeration date
02/13/2019
Last updated
05/02/2019
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