Organization
CALDARONE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D CALDARONE D.C. (OWNER)
(203) 488-1105
Entity
Organization
Contact information
Practice address
239 N MAIN ST, BRANFORD, CT 06405-3020
(203) 488-1105
(203) 488-8113
Mailing address
239 N MAIN ST, BRANFORD, CT 06405-3020
(203) 488-1105
(203) 488-8113
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1009
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001009CT02
ANTHEM PROVIDER ID
CT
01
—
3759643
AETNA ID
CT
01
—
CT01009
LANDMARK PROVIDER ID
CT
01
—
P429018
OXFORD ID
CT
Enumeration date
05/01/2007
Last updated
09/16/2014
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