Individual
ISAAC ROMAN MOON BOEDIGHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 SPRING LN UNIT 4, FARMINGTON, CT 06032-3306
(860) 470-7114
Mailing address
5 CONSTITUTION PLZ APT 618, HARTFORD, CT 06103-1828
(218) 590-5332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2376
CT
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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