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NPI Code Detail

MEDICARE: DR. REUBEN M MALKIEL DC

MEDICARE:  DR. REUBEN M MALKIEL  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
1111N00000XChiropractor0001237CT

General Provider Information

NPI Number : 1841218500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REUBEN M MALKIEL DC
Provider Business Mailing Address
First Line : 970 SUMMER ST
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5542
Country : US
Telephone Number : 203-348-0123
Fax Number : 203-348-5678
Provider Business Practice Location Address
First Line : 970 SUMMER ST
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5542
Country : US
Telephone Number : 203-348-0123
Fax Number : 203-348-5678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 10/28/2011

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Directions to “ DR. REUBEN M MALKIEL DC” Practice Location

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