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Organization
SEASIDE CHIROPRACTIC
Active
Organization
SEASIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HALSTEAD D.C. (CHIROPRACTOR/OWNER)
(781) 659-2104
Entity
Organization
Contact information
Practice address
339 WASHINGTON ST, NORWELL, MA 02061-1903
(781) 659-2104
Mailing address
339 WASHINGTON ST, NORWELL, MA 02061-1903
(781) 659-2104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3366
MA
111N00000X
Chiropractor
3400
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002618001
MEDICARE PTAN
MA
Enumeration date
03/18/2013
Last updated
03/18/2013
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