Organization
CONNECTICUT SPINE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN CHASANOFF D.C. (MEMBER)
(203) 333-2377
Entity
Organization
Contact information
Practice address
340 CAPITOL AVE, BRIDGEPORT, CT 06606-5412
(203) 333-2377
(203) 333-2378
Mailing address
340 CAPITOL AVE, BRIDGEPORT, CT 06606-5412
(203) 333-2377
(203) 333-2378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
11/21/2012
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