# BROADWAY FAMILY CHIROPRACTIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134241979
- **Authorized official:** DR. THOMAS EDWARD ABATE D.C. (PRESIDENT)
- **Authorized official phone:** (781) 289-9223

## Contact information

- **Practice address:** 85 BROADWAY, REVERE, MA 02151-5302
- **Practice address phone:** (781) 289-9223
- **Practice address fax:** (781) 289-0324
- **Mailing address:** 85 BROADWAY, REVERE, MA 02151-5302
- **Mailing address phone:** (781) 289-9223
- **Mailing address fax:** (781) 289-0324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 175 | MA | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BRY39078 | BLUE CROSS BLUE SHIELD | MA |
