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Organization
FRESH START CHIROPRACTIC, LLC
Active
Organization
FRESH START CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAI AFANASENKO D.C. (OWNER)
(781) 545-6644
Entity
Organization
Contact information
Practice address
303 CHIEF JUSTICE CUSHING HWY, SCITUATE, MA 02066-3627
(781) 545-6644
(781) 545-5744
Mailing address
303 CHIEF JUSTICE CUSHING HWY, SCITUATE, MA 02066-3627
(781) 545-6644
(781) 545-5744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39740
BCBSMA
MA
Enumeration date
02/17/2008
Last updated
02/17/2008
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