Individual
DR. JOHN MARK CIANCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 ORANGE ST, NEW HAVEN, CT 06511-3808
(203) 495-6800
(203) 495-6801
Mailing address
500 ORANGE ST, NEW HAVEN, CT 06511-3808
(203) 495-6800
(203) 495-6801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000744
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004088375
—
CT
Enumeration date
09/15/2005
Last updated
05/30/2024
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