Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 000784 | CT |
NPI | 1063626026 |
---|---|
Provider Name | Robert Stephen Gadoci |
First Address | Newtown, CT 06470-2743 |
Second Address | Brookfield, CT 06804-2418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |