Provider Demographics
NPI:1467838730
Name:DR. MARGARET AZZARELLA LLC
Entity Type:Organization
Organization Name:DR. MARGARET AZZARELLA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:T
Authorized Official - Last Name:AZZARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-799-7100
Mailing Address - Street 1:472 BOSTON POST ROAD,
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477
Mailing Address - Country:US
Mailing Address - Phone:203-799-7100
Mailing Address - Fax:203-799-7102
Practice Address - Street 1:472 BOSTON POST ROAD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477
Practice Address - Country:US
Practice Address - Phone:203-799-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty