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Individual

DR. JONATHAN ANDREW SIROTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
18 W HAVILAND LN, STAMFORD, CT 06903-3336
(203) 595-9772
(203) 276-0551
Mailing address
18 W HAVILAND LN, STAMFORD, CT 06903-3336
(203) 595-9772
(203) 276-0551

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
817
CT
111N00000X
Chiropractor
XOO5995-1
NY

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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