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Organization
MOSHE MYEROWITZ DC PA
Active
Organization
MOSHE MYEROWITZ DC PA
Active
Other names
Myerowitz Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSHE MYEROWITZ DC (OWNER)
(207) 947-3333
Entity
Organization
Contact information
Practice address
1570 BROADWAY, BANGOR, ME 04401-2405
(207) 947-3333
(207) 947-1008
Mailing address
1570 BROADWAY, BANGOR, ME 04401-2405
(207) 947-3333
(207) 947-1008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR400
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004846
MEDICARE PTAN
ME
01
—
060100
ANTHEM
ME
01
—
350019565
RR MEDICARE
ME
01
—
M20329
CIGNA
ME
Enumeration date
01/05/2007
Last updated
05/23/2008
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