Individual
MR. IGOR MALITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
51 SHUNPIKE RD STE 41, CROMWELL, CT 06416-2497
(860) 635-7653
(860) 635-2080
Mailing address
51 SHUNPIKE RD STE 41, CROMWELL, CT 06416-2497
(860) 635-7653
(860) 635-2080
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
20361
CT
Other
Enumeration date
01/28/2007
Last updated
10/25/2007
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