Individual provider · Type 1 NPI
Malvin Charles Ware Sr., LMT
Specialist · New London, CT
NPI number
1598068348
Active
Practice location
40 Orchard St
New London, CT 06320-4818
Mailing address
40 Orchard Street
New London, CT 06320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 006450 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1598068348
Malvin Charles Ware Sr., LMT's National Provider Identifier is 1598068348, issued on Dec 17, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New London, CT. The record was last updated on Dec 17, 2010.