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Organization
INTEGRATIVE CHIROPRACTIC AND REHABILITATION, P. C.
Active
Organization
INTEGRATIVE CHIROPRACTIC AND REHABILITATION, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KLEZMER DC (OWNER)
(781) 986-6443
Entity
Organization
Contact information
Practice address
42 DIAUTO DR, RANDOLPH, MA 02368-4510
(781) 986-6443
(781) 986-4837
Mailing address
42 DIAUTO DR, RANDOLPH, MA 02368-4510
(781) 986-6443
(781) 986-4837
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39771
BLUE CROSS
MA
Enumeration date
03/23/2006
Last updated
08/22/2020
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