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NPI Code Detail

MEDICARE: NESTOR MEJIAS

MEDICARE:   NESTOR  MEJIAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor001495CT

General Provider Information

NPI Number : 1427144849
Entity Type Code : Individual
Provider Name (Legal Business Name) : NESTOR MEJIAS
Provider Business Mailing Address
First Line : 39 PARK LANE RD
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 39 PARK LANE RD
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2923
Country : US
Telephone Number : 860-355-8494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ NESTOR MEJIAS ” Practice Location

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