Individual
DR. ROBERT VIDEYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
128 STATE ST, NEWBURYPORT, MA 01950-6629
(978) 465-1500
(978) 465-7501
Mailing address
128 STATE ST, NEWBURYPORT, MA 01950-6629
(978) 465-1500
(978) 465-7501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
647
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351205
HARVARD HEALTHCARE
MA
01
—
515906
AETNA
—
01
—
67990
CIGNA
—
01
—
711501
TUFTS
MA
01
—
Y35447
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/11/2005
Last updated
08/29/2012
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