MEDICARE: DAVID J HOCHMAN 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
1	111N00000X	Chiropractor	001257	CT

General Provider Information

NPI Number	:	1922032523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J HOCHMAN D.C.

Provider Business Mailing Address
First Line	:	863 N MAIN STREET EXT
Second Line	:	SUITE 200
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2434
Country	:	US
Telephone Number	:	203-265-3280
Fax Number	:	203-741-6575

Provider Business Practice Location Address
First Line	:	863 NORTH MAIN STREET EXT
Second Line	:	SUITE 200
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2230
Country	:	US
Telephone Number	:	203-265-3280
Fax Number	:	203-741-6575

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/27/2015

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