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Organization
THOMAS H GORMAN DC PC
Active
Organization
THOMAS H GORMAN DC PC
Active
Other names
Watertown Back Care
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H GORMAN DC (OWNER)
(617) 926-0202
Entity
Organization
Contact information
Practice address
440 ARSENAL ST, WATERTOWN, MA 02472-2898
(617) 926-0202
(617) 926-5430
Mailing address
440 ARSENAL ST, WATERTOWN, MA 02472-2898
(617) 926-0202
(617) 926-5430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351126
HARVARD PILGRIM HEALTH
—
01
—
763508
TUFTS HEALTH PLAN
—
05
—
9781617
—
MA
01
—
Y39195
BCBS
MA
Enumeration date
12/16/2005
Last updated
05/14/2008
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