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Individual

DR. WILLIAM CARL DEANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
531 NEW HAVEN AVE, MILFORD, CT 06460-8613
(203) 878-7800
(203) 878-8849
Mailing address
531 NEW HAVEN AVE, MILFORD, CT 06460-8613
(203) 878-7800
(203) 878-8849

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000912
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004130879
CT
01
050000912CT01
BLUE CROSS
CT
Enumeration date
09/19/2005
Last updated
10/31/2013
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