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Organization
CONDON CHIROPRACTIC CENTER
Active
Organization
CONDON CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M CONDON D.C. (DOCTOR)
(978) 372-1400
Entity
Organization
Contact information
Practice address
288 GROVELAND ST, SUITE C2, HAVERHILL, MA 01830-6674
(978) 372-1400
Mailing address
288 GROVELAND STREET, SUITE C2, HAVERHILL, MA 01830-6674
(978) 372-1400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696734
—
MA
01
—
U79954
MEDICARE GROUP
MA
Enumeration date
02/08/2008
Last updated
02/08/2008
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