Individual
DR. EMMANUEL CAICEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1404 TOLLAND TPKE RM 3, MANCHESTER, CT 06042-1636
(860) 327-3284
Mailing address
1404 TOLLAND TPKE RM 3, MANCHESTER, CT 06042-1636
(860) 327-3284
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
12753
CT
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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