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Organization
CHIROPRACTIC & PT CENTER OF TURF VALLEY, LLC
Active
Organization
CHIROPRACTIC & PT CENTER OF TURF VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GERARD DOLENGO D.C. (OWNER/CHIROPRACTOR/PHYSICAL THERAPY)
(410) 461-0080
Entity
Organization
Contact information
Practice address
10729 BIRMINGHAM WAY, SUITE A, WOODSTOCK, MD 21163-1403
(410) 461-0080
(410) 461-8566
Mailing address
10729 BIRMINGHAM WAY, SUITE A, WOODSTOCK, MD 21163-1403
(410) 461-0080
(410) 461-8566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01969
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077382
AETNA
MD
01
—
4114301
UNITED HC/MAMSI
MD
01
—
620634-02
CAREFIRST BCBS
MD
01
—
N162-0001
CAREFIRST BCBS
MD
Enumeration date
10/30/2007
Last updated
10/30/2007
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