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Organization
BERKSHIRE MOUNTAIN CHIROPRACTIC, P.C.
Active
Organization
BERKSHIRE MOUNTAIN CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BEN VAN WAGNER D.C. (PRESIDENT)
(413) 644-8989
Entity
Organization
Contact information
Practice address
1 NEWSBOY MONUMENT LANE, GREAT BARRINGTON, MA 01230
(413) 644-8989
Mailing address
1 NEWSBOY MONUMENT LANE, GREAT BARRINGTON, MA 01230
(413) 644-8989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2279
MA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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