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Individual

ANTHONY A NARDECCHIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
666 SAVIN AVE, WEST HAVEN, CT 06516-4901
(203) 932-0600
(203) 932-0578
Mailing address
666 SAVIN AVE, WEST HAVEN, CT 06516-4901
(203) 932-0600
(203) 932-0578

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001447
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001447
LANDMARK PROVIDER ID
CT
01
050001447CT02
ANTHEM PROVIDER ID
CT
01
680886
CONNECTICARE PROVIDER ID
CT
01
P3492577
OXFORD PROVIDER ID
CT
Enumeration date
08/15/2006
Last updated
07/09/2007
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