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Organization
WOBURN FAMILY CHIROPRACTIC INC
Active
Organization
WOBURN FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD PENDOLINO DC (PRESIDENT)
(781) 938-9400
Entity
Organization
Contact information
Practice address
20 CUMMINGS PARK, WOBURN, MA 01801
(781) 938-9400
(871) 938-9323
Mailing address
20 CUMMINGS PARK, WOBURN, MA 01801
(781) 938-9400
(871) 938-9323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697021
—
MA
01
—
2611483
AETNA
—
01
—
460083
TUFTS
—
01
—
AA7544
HARVARD PILGRIM
—
01
—
Y39772
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
08/22/2020
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