MEDICARE: DR. PETER JOSEPH BRAGLIA DC

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
1	111N00000X	Chiropractor	001703	CT

General Provider Information

NPI Number	:	1790818490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER JOSEPH BRAGLIA DC

Provider Business Mailing Address
First Line	:	999 ORONOQUE LN STE 300
Second Line	:
City	:	STRATFORD
State	:	CT
Zip	:	06614-1379
Country	:	US
Telephone Number	:	203-923-8633
Fax Number	:

Provider Business Practice Location Address
First Line	:	999 ORONOQUE LN STE 300
Second Line	:
City	:	STRATFORD
State	:	CT
Zip	:	06614-1379
Country	:	US
Telephone Number	:	203-923-8633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/12/2026

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