Organization
SHORELINE SPINE & PAIN ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED BORGES FURTADO D.C. (DOCTOR OF CHIROPRACTIC)
(401) 529-5436
Entity
Organization
Contact information
Practice address
2415 BOSTON POST RD, UNIT 11, GUILFORD, CT 06437-4348
(401) 529-5436
Mailing address
2415 BOSTON POST RD, UNIT 11, GUILFORD, CT 06437-4348
(401) 529-5436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001647
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0001647CT01
ANTHEM BLUE CROSS
CT
01
—
11513740
CAQH
CT
Enumeration date
11/13/2006
Last updated
08/22/2020
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