Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 002073 | CT |
NPI | 1407354806 |
---|---|
Provider Name | Dr. Daniel Alfred Ragozzine |
First Address | Beacon Falls, CT 06403-1484 |
Second Address | West Haven, CT 06516-4901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2018 |
Last Update Date | 31/01/2018 |