Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 001689 | CT |
NPI | 1306970637 |
---|---|
Provider Name | Dr. Michael Claudio Orefice |
First Address | Milford, CT 06460-4738 |
Second Address | Milford, CT 06460-4738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 16/09/2021 |