Individual
DR. BRYAN BURK GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P
Contact information
Practice address
34 LONG POND RD, PLYMOUTH, MA 02360-2606
(508) 747-1434
(508) 747-0772
Mailing address
34 LONG POND RD, PLYMOUTH, MA 02360-2606
(508) 747-1434
(508) 747-0772
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1608550
—
MA
01
—
28387
CIGNA
MA
01
—
3303802
AETNA
MA
01
—
352411
HARVARD PILGRIM HEALTH CA
MA
01
—
4401065
UNITED HEALTH CARE
MA
01
—
470633
TUFTS
MA
01
—
698922
SECURE HORIZONS
MA
01
—
Y36728
BCBS OF MA
MA
Enumeration date
10/03/2006
Last updated
06/04/2008
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