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Organization
STATE STREET CHIROPRACTIC, INC
Active
Organization
STATE STREET CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL BENESKI (DC/OWNER)
(617) 399-0333
Entity
Organization
Contact information
Practice address
147 MILK ST, 7TH FLOOR, BOSTON, MA 02109-4806
(617) 399-0333
(617) 338-4160
Mailing address
147 MILK ST FL 9, BOSTON, MA 02109-4806
(617) 399-0333
(617) 338-4160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1704
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39262
BLUE CROSS
MA
Enumeration date
01/18/2007
Last updated
12/07/2018
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