Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7.002232 | CT |
N | 111NN0400X | Neurology | 7.002232 | CT |
NPI | 1386214724 |
---|---|
Provider Name | Dr. Andrew Rocha |
First Address | Watertown, CT 06795-1033 |
Second Address | Waterbury, CT 06705-1933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2021 |
Last Update Date | 16/08/2021 |