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Individual

DR. ADRIAN CALIN BANC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
110 PROSPECT ST, STAMFORD, CT 06901-1203
(203) 323-3002
(203) 323-3004
Mailing address
110 PROSPECT ST, STAMFORD, CT 06901-1203
(203) 323-3002
(203) 323-3004

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1005
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050001005CT02
BLUE CROSS BLUE SHIELD #
CT
01
21206970748-01
BEECH STREET CORP. #
CT
01
4325759
AETNA #
CT
01
CT0000419
SELECTPRO #
CT
Enumeration date
05/07/2007
Last updated
07/08/2007
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