Healthcare Provider Details

I. General information

NPI: 1598906067
Provider Name (Legal Business Name): ALBERT A. CANTITO, D.C. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 STRAITS TPKE STE E
MIDDLEBURY CT
06762-2800
US

IV. Provider business mailing address

900 STRAITS TPKE STE E
MIDDLEBURY CT
06762-2800
US

V. Phone/Fax

Practice location:
  • Phone: 203-577-2095
  • Fax: 203-577-2098
Mailing address:
  • Phone: 203-577-2095
  • Fax: 203-577-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number001770
License Number StateCT

VIII. Authorized Official

Name: DR. MASSIMO VERARDO
Title or Position: PRESIDENT
Credential: D.C.
Phone: 203-577-2095