| Andrew Gonsalves, | |
|
53 Warwick St, Middletown, CT 06457-3780 | |
| (860) 759-8612 | |
| Not Available |
| Full Name | Andrew Gonsalves |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 53 Warwick St, Middletown, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699547166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 010488 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Gonsalves, 53 Warwick St, Middletown, CT 06457-3780 Ph: (860) 759-8612 | Andrew Gonsalves, 53 Warwick St, Middletown, CT 06457-3780 Ph: (860) 759-8612 |
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