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NPI Code Detail

MEDICARE: DR. PAUL A. MOYSE D.C.

MEDICARE: DR. PAUL A. MOYSE D.C.
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
1111NS0005XSports Physician Chiropractor437CT

General Provider Information

NPI Number : 1578558466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL A. MOYSE D.C.
Provider Business Mailing Address
First Line : 450 MONROE TPKE
Second Line : SUITE 102
City : MONROE
State : CT
Zip : 06468-2343
Country : US
Telephone Number : 203-261-1355
Fax Number :
Provider Business Practice Location Address
First Line : 450 MONROE TPKE
Second Line : SUITE 102
City : MONROE
State : CT
Zip : 06468-2343
Country : US
Telephone Number : 203-261-1355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 09/16/2016

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