Healthcare Provider Details

I. General information

NPI: 1437197969
Provider Name (Legal Business Name): ASSOCIATED SPINE AND REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 STATE ST
NEW HAVEN CT
06511-3928
US

IV. Provider business mailing address

73 PRINCETON ST SUITE 214
NORTH CHELMSFORD MA
01863-1558
US

V. Phone/Fax

Practice location:
  • Phone: 203-562-6100
  • Fax:
Mailing address:
  • Phone: 978-250-0230
  • Fax: 978-250-8424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. FREDERICK T GIAMPA
Title or Position: OWNER
Credential: DC
Phone: 978-250-0230