Organization
GROTON CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MASCARO D.C. (DOCTOR OF CHIROPRACTIC/OWNER)
(860) 445-4148
Entity
Organization
Contact information
Practice address
1057 POQUONNOCK RD, GROTON, CT 06340-4220
(860) 445-4148
(860) 449-1375
Mailing address
1057 POQUONNOCK RD, GROTON, CT 06340-4220
(860) 445-4148
(860) 449-1375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000502
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770503492
NPI NUMBER
CT
Enumeration date
09/27/2006
Last updated
08/22/2020
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