Organization
MONTOWESE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MIKOS D.C., P.T. (PRESIDENT)
(203) 985-1577
Entity
Organization
Contact information
Practice address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 985-1577
(203) 239-4290
Mailing address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 985-1577
(203) 239-4290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001238
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008050328
—
CT
Enumeration date
07/26/2005
Last updated
01/13/2016
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