Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 001457 | CT |
NPI | 1003924655 |
---|---|
Provider Name | Dr. Greg William Rocchio |
First Address | Naugatuck, CT 06770-4109 |
Second Address | Naugatuck, CT 06770-4109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 08/07/2007 |