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Organization
SPINAL THERAPY & CHIROPRACTIC SERVICES INC
Active
Organization
SPINAL THERAPY & CHIROPRACTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN WOO SUNG DC (PRESIDENT)
(781) 289-7008
Entity
Organization
Contact information
Practice address
166 WINTHROP AVE, SUITE 3, REVERE, MA 02151-3915
(781) 289-7008
(781) 289-7242
Mailing address
166 WINTHROP AVE, SUITE 3, REVERE, MA 02151-3915
(781) 289-7008
(781) 289-7242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
189
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39887
BCBS OF MA GROUP NO
—
Enumeration date
08/23/2006
Last updated
08/22/2020
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