Individual
JONATHAN DANIEL ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
955 MAIN ST APT 812, BRIDGEPORT, CT 06604-4336
(787) 559-4057
Mailing address
955 MAIN ST APT 812, BRIDGEPORT, CT 06604-4336
(787) 559-4057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1949
CT
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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