Organization
CHIROMARK, LLC
Active
Other names
Chiromark of Glastonbury
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN CHARLES REILLY D.C. (CO-OWNER)
(860) 430-9116
Entity
Organization
Contact information
Practice address
10 COMMERCE ST STE B, GLASTONBURY, CT 06033-4802
(860) 430-9116
(860) 430-9108
Mailing address
10 COMMERCE ST STE B, GLASTONBURY, CT 06033-4802
(860) 430-9116
(860) 430-9108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT01479
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258332
—
CT
Enumeration date
04/23/2009
Last updated
10/14/2014
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