Provider Demographics
NPI:1104262252
Name:THE AMADEUS CENTER FOR HEALTH AND HEALING, INC,
Entity type:Organization
Organization Name:THE AMADEUS CENTER FOR HEALTH AND HEALING, INC,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADEO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPLAC
Authorized Official - Phone:203-787-0869
Mailing Address - Street 1:245 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-1104
Mailing Address - Country:US
Mailing Address - Phone:203-787-0869
Mailing Address - Fax:203-773-1115
Practice Address - Street 1:207 BRADLEY ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-1102
Practice Address - Country:US
Practice Address - Phone:203-787-0869
Practice Address - Fax:203-773-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT183171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty