Nicole Rogers, CRANIAL PROTHESIS

NPI #1508618695 in Norwalk, Connecticut

Provider Information

NPI Number: 1508618695
Entity Type: Individual
Name: Nicole Rogers, CRANIAL PROTHESIS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CRANIAL PROTHESIS
Enumeration Date: Apr 3, 2024
Last Updated: Apr 3, 2024

Practice Location

Address: 6 WOODWARD AVE
City: Norwalk
State: Connecticut
ZIP Code: 06854-3740
Phone: (203) 923-3904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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