Organization
JMSEJB1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLOS BOGHOSIAN D.C. (MEMEBER)
(860) 278-9141
Entity
Organization
Contact information
Practice address
3034 SUMMER ST, STAMFORD, CT 06905-4311
(860) 278-9141
(860) 525-4013
Mailing address
24 LEWIS ST, HARTFORD, CT 06103-2501
(860) 278-9141
(860) 525-4013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001313
CT
111N00000X
Chiropractor
001584
CT
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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