# MJR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Michael J Recupero
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831225697
- **Authorized official:** DR. MICHAEL JOHN RECUPERO D.C. (OWNER)
- **Authorized official phone:** (781) 829-6780

## Contact information

- **Practice address:** 208 BROADWAY, HANOVER, MA 02339-2382
- **Practice address phone:** (781) 829-6780
- **Practice address fax:** (781) 829-6781
- **Mailing address:** PO BOX 192, HANOVER, MA 02339-0192
- **Mailing address phone:** (781) 829-6780
- **Mailing address fax:** (781) 829-6781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2353 | MA | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Y39928 | BCBS ID | MA |