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Individual
DR. BRIAN V AVITABILE
Active
Individual
DR. BRIAN V AVITABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699903
—
MA
01
—
6342264
CIGNA
MA
01
—
AA118684
HARVARD PILGRIM HEALTHCARE
MA
01
—
P00462880
MEDICARE RAILROAD
MA
01
—
Y36619
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
07/21/2022
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