Provider Demographics
NPI:1629239454
Name:VERARDO, MASSIMO (DC)
Entity type:Individual
Prefix:
First Name:MASSIMO
Middle Name:
Last Name:VERARDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 STRAITS TPKE STE E
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-2800
Mailing Address - Country:US
Mailing Address - Phone:203-577-2095
Mailing Address - Fax:203-577-2098
Practice Address - Street 1:900 STRAITS TPKE STE E
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-2800
Practice Address - Country:US
Practice Address - Phone:203-577-2095
Practice Address - Fax:203-577-2098
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor