Provider Demographics
NPI:1689759300
Name:SERAFIN, JOHN F (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:SERAFIN
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 1:131 NEW LONDON TPKE
Mailing Address - Street 2:SUITE 318
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2246
Mailing Address - Country:US
Mailing Address - Phone:860-633-7890
Mailing Address - Fax:860-633-5721
Practice Address - Street 1:131 NEW LONDON TPKE
Practice Address - Street 2:SUITE 103
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2246
Practice Address - Country:US
Practice Address - Phone:860-633-7890
Practice Address - Fax:860-633-5721
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT174CT01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT22393Medicare UPIN
CT061309769Medicare PIN