Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1623 | CT |
NPI | 1356308415 |
---|---|
Provider Name | Dr. Frank C Musante |
First Address | Waterford, CT 06385 |
Second Address | Waterford, CT 06385 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 03/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V08746 | (02) | CT |