Organization
GRISWOLD FAMILY CHIROPRACTIC
Active
Other names
Eastern Connecticut Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PETER TAVERNEY JR. D.C. (OWNER/DOCTOR)
(860) 376-4700
Entity
Organization
Contact information
Practice address
141A BROWN AVE, JEWETT CITY, CT 06351-1927
(860) 376-4700
(860) 376-4708
Mailing address
141A BROWN AVE, JEWETT CITY, CT 06351-1927
(860) 376-4700
(860) 376-4708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164692067
NPI # 1164692067
CT
Enumeration date
04/20/2012
Last updated
11/13/2014
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