Individual
DR. BRUCE JORDAN FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
940 BELMONT ST RM C-208, BROCKTON, MA 02301-5596
(203) 838-9795
Mailing address
940 BELMONT ST RM C-208, BROCKTON, MA 02301-5596
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
002036
CT
Other
Enumeration date
10/25/2016
Last updated
10/16/2020
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