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Individual
DR. MARK F DELORENZO
Active
Individual
DR. MARK F DELORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17973
CIGNA
—
01
—
35193
HARVARD PILGRIM
—
01
—
403592
MEDIGAP
—
01
—
511
CHIRO LICENSE
—
01
—
710194
TUFTS
—
01
—
Y35338
BCBS
—
01
—
Y39093
BCBS
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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