Organization
MINIACI CHIROPRACTIC AND ACUPUNCTURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH A MINIACI D.C. (OWNER/PRESIDENT)
(203) 469-5210
Entity
Organization
Contact information
Practice address
53 HIGH ST, EAST HAVEN, CT 06512-2315
(203) 469-5210
(203) 468-8598
Mailing address
53 HIGH ST, EAST HAVEN, CT 06512-2315
(203) 469-5210
(203) 468-8598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000410
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004128725
—
CT
Enumeration date
04/27/2009
Last updated
09/23/2014
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