Individual
ALISSA STACEY MERZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
430 MAIN AVENUE, SUITE 201, NORWALK, CT 06851
(203) 847-7999
(203) 847-3033
Mailing address
27 ORCHARD DRIVE, REDDING, CT 06896
(203) 847-7999
(203) 847-3033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000888
CT
111N00000X
Chiropractor
3992
NJ
111N00000X
Chiropractor
X006283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000888CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
03/22/2007
Last updated
07/08/2007
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