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Organization
MARISKA VISSER LLC
Active
Organization
MARISKA VISSER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISKA E VISSER D.C. (OWNER)
(978) 462-2971
Entity
Organization
Contact information
Practice address
50 WATER ST, STE 148, NEWBURYPORT, MA 01950-2889
(978) 462-2971
(978) 463-9526
Mailing address
50 WATER ST, STE 148, NEWBURYPORT, MA 01950-2889
(978) 462-2971
(978) 463-9526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2443
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611158
TUFTS
MA
01
—
AA1032
HARVARD PILGRIM
MA
01
—
Y36700
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/14/2010
Last updated
07/14/2010
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