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Organization
BACK TO BASICS CHIROPRACTIC CENTER, PC
Active
Organization
BACK TO BASICS CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY MICHAEL DULSKI DC (PRESIDENT)
(301) 468-2225
Entity
Organization
Contact information
Practice address
4701 RANDOLPH RD, SUITE G5, ROCKVILLE, MD 20852-2259
(301) 468-2225
Mailing address
4701 RANDOLPH RD, SUITE G5, ROCKVILLE, MD 20852-2259
(301) 468-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07CFSM
BCBS PROVIDER NUMBER
MD
01
—
41030001
BCBS FEDERAL
MD
Enumeration date
06/20/2011
Last updated
06/20/2011
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