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Organization
SEASIDE CHIROPRACTIC
Active
Organization
SEASIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MAGAURAN DC (CHIROPRACTOR)
(617) 591-9200
Entity
Organization
Contact information
Practice address
259 ELM ST, SUITE 300, SOMERVILLE, MA 02144-2950
(617) 591-9200
Mailing address
15 UPCREST RD, BRIGHTON, MA 02135-1725
(617) 591-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
695486
TUFTS GRP PROVIDER NUMBER
—
Enumeration date
09/07/2007
Last updated
09/07/2007
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