Connecticut Headache and Migraine Relief Center LLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC

Practice address

235 Glenville Rd
Suite 2B
Greenwich, CT 06831-4148

Phone

(203) 531-5688

Fax

(203) 531-5663

NPI assigned

Sep 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Anzalone

Title

Owner

Phone

(203) 531-5688

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1053713800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GLENVILLE RD",
            "address_2": "SUITE 2B",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314148",
            "telephone_number": "203-531-5688",
            "fax_number": "203-531-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GLENVILLE RD",
            "address_2": "SUITE 2B",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314148",
            "telephone_number": "203-531-5688",
            "fax_number": "203-531-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT HEADACHE AND MIGRAINE RELIEF CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "ANZALONE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-531-5688",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.