Individual
DR. ROBERT N SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1783 MERIDEN WATERBURY TPKE, MILLDALE, CT 06467-0475
(860) 621-1919
(860) 628-5086
Mailing address
1783 MERIDEN WATERBURY TPKE, MILLDALE, CT 06467-0475
(860) 621-1919
(860) 628-5086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001066
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001066CT01
ANTHEM BCBS
CT
Enumeration date
06/15/2006
Last updated
02/07/2008
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