Organization
ROOT CAUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SHAIN MSAOM L.AC. (MANAGER)
(203) 673-9600
Entity
Organization
Contact information
Practice address
75 WHITNEY AVE, NEW HAVEN, CT 06510-1226
(203) 865-5121
Mailing address
422 TOILSOME HILL RD, FAIRFIELD, CT 06825-1627
12036739600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
583
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134577984
—
CT
Enumeration date
09/30/2017
Last updated
10/04/2017
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