# BRIDGEWATER SQUARE CHIROPRACTIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952422701
- **Authorized official:** DR. KEVIN A. PERRY D.C. (OWNER)
- **Authorized official phone:** (508) 697-0050

## Contact information

- **Practice address:** 63 MAIN ST, BRIDGEWATER, MA 02324-1455
- **Practice address phone:** (508) 697-1831
- **Practice address fax:** (508) 697-0882
- **Mailing address:** 63 MAIN ST, BRIDGEWATER, MA 02324-1455
- **Mailing address phone:** (508) 697-1831
- **Mailing address fax:** (508) 697-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2182 | MA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 04/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2990813 | AETNA | MA |
| 01 | — | 351229 | HARVARD PILGRIM | MA |
| 01 | — | 792311 | TUFTS | MA |
| 01 | — | Y40043 | BCBS GROUP PROVIDER \# | MA |