Eugene Anthony Bolognese DC

NPI 1063591899 - Chiropractor - 111N00000X

NPI Details
NPI 1063591899
Gender Male
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 GRIST MILL RD
SIMSBURY CT, 06070, US
Phone (860) 651-4385
Fax (860) 658-0492
Business Location
1 GRIST MILL RD
SIMSBURY CT, 06070, US
Phone (860) 651-4385
Fax (860) 658-0492
Toxanomy
Taxonomy Code 111N00000X
License State Connecticut
License Number 001194
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According to our database, Eugene Anthony Bolognese DC NPI is 1063591899, taxonomy code is 111N00000X and license number is 001194, license state is located at Connecticut. Eugene Anthony Bolognese DC physically located at 1 Grist Mill Rd, Simsbury CT, 06070. NPI Number Eugene Anthony Bolognese DC has the Individual type.

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1063591899 NPI number is provided on an as is basis without warranty of any kind. 1063591899 is maintained by the National Plan & Provider Enumeration System. The contents of Eugene Anthony Bolognese DC are for informational purposes only.