Individual
MR. EDWARD GERARD HABERLI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
80 S MAIN ST STE 1, WALLINGFORD, CT 06492-4222
(203) 631-2612
Mailing address
80 S MAIN ST STE 1, WALLINGFORD, CT 06492-4222
(203) 631-2612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000543
CT
Other
Enumeration date
09/02/2011
Last updated
06/26/2019
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