Individual
MR. IRENEO MALABANAN ADAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6246
Mailing address
58 OLDE ELM CLOSE, MILFORD, CT 06460-5557
(203) 876-9409
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
97586
CT
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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