Individual
DR. BRADLEY ADAM VISCONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
171 MARKET SQUARE SUITE 210, NEWINGTON, CT 06111-2930
(860) 665-0826
Mailing address
171 MARKET SQUARE SUITE 210, NEWINGTON, CT 06111
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2055
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863573069
STATE OF CT
CT
Enumeration date
12/29/2016
Last updated
01/24/2024
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