NPI 1598068348

Malvin Charles Ware, LMT

Practitioner Specialist New London, CT

Practice location

Address: 40 Orchard St, New London, CT 06320-4818
Phone: (860) 389-2542
Mailing address: 40 Orchard Street, New London, CT 06320

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 006450 (CT)

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Registry record

NPI: 1598068348
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2010
Record last updated: 17 Dec 2010

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.