| Organization Name: | CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC |
| NPI Number: | 1053713800 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS ANZALONE (OWNER) |
| Mailing Address: | 235 Glenville Rd Suite 2b Greenwich |
| State: | CT US |
| Postal Code: | 068314148 |
| Phone Number: | 2035315688 |
| Fax Number: | 2035315663 |
| NPI Enumeration Date: | 09/24/2014 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |