Individual
DR. STEPHEN R PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
609 FARMINGTON AVE, SUITE 101, HARTFORD, CT 06105-3081
(860) 233-9922
(860) 233-2067
Mailing address
609 FARMINGTON AVE, SUITE 101, HARTFORD, CT 06105-3081
(860) 233-9922
(860) 233-2067
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001160CT02
BLUE CROSS
CT
Enumeration date
08/24/2006
Last updated
07/08/2007
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