# GREATER LOWELL CHIROPRACTIC & REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588759039
- **Authorized official:** DR. JOHN P BRODERICK SR. DC (PRESIDENT)
- **Authorized official phone:** (978) 452-1466

## Contact information

- **Practice address:** 249 CENTRAL ST, LOWELL, MA 01852-2214
- **Practice address phone:** (978) 452-1466
- **Practice address fax:** (978) 452-1826
- **Mailing address:** 249 CENTRAL ST, LOWELL, MA 01852-2214
- **Mailing address phone:** (978) 452-1466
- **Mailing address fax:** (978) 452-1826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 230 | MA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 351369 | HARVARD PILGRIM | MA |
| 01 | — | 468952 | TUFTS | MA |
| 01 | — | 606350 | CIGNA | MA |
| 01 | — | 63563 | FALLON | MA |
| 05 | — | PR1697 | — | MA |
| 01 | — | Y36807 | BLUE CROSS/BLUE SHIELD | MA |