Individual
DR. JAMES T PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1579 STRAITS TPKE STE E, MIDDLEBURY, CT 06762-1835
(203) 598-0700
(877) 345-6922
Mailing address
1579 STRAITS TPKE STE E, MIDDLEBURY, CT 06762-1835
(203) 598-0700
(877) 345-6922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000605
CT
111NS0005X
Sports Physician Chiropractor
605
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02702
MEDICARE GROUP #
CT
Enumeration date
06/13/2006
Last updated
04/08/2020
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