Search › Connecticut › 171100000X
Boaz Itshaky, MSOM
NPI 1730218181 · on the registry since 2007 · sole proprietor
Practice
- Address
- 286 Beacon Rd
Bethany, CT 06524 - Phone
- (203) 393-2773
- Organisation at this address
- Infinite Well Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- NY, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut