NPI 1003178179

Shoreline Chiropractic Center, LLC

Organisation Chiropractor Madison, CT

Practice location

Address: 82 Bradley Rd, Madison, CT 06443-2684
Phone: (203) 245-2639

Authorised official

Name: John David Mastrobattisto
Title: Owner/Member
Phone: (203) 245-2639

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1155 (CT)

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Registry record

NPI: 1003178179
Entity type: Organization
NPI issued: 13 Jun 2012
Record last updated: 13 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.