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Organization
ANDOVER SPINE CENTER
Active
Organization
ANDOVER SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R. CONDON DC (OWNER)
(978) 474-1700
Entity
Organization
Contact information
Practice address
63 PARK ST, ANDOVER, MA 01810-3662
(978) 474-1700
(978) 474-9993
Mailing address
63 PARK ST, ANDOVER, MA 01810-3662
(978) 474-1700
(978) 474-9993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1607910
—
MA
Enumeration date
01/01/2013
Last updated
01/01/2013
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