Organization
SHAW FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SHAW D.C. (CEO)
(860) 621-1919
Entity
Organization
Contact information
Practice address
1783 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT 06467-0475
(860) 621-1919
Mailing address
1783 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT 06467-0475
(860) 621-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1066
CT
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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