Individual
MARK JOSEPH MANCINELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 CORPORATE PL, SUITE 103, PEABODY, MA 01960-3865
(781) 718-9920
Mailing address
15 SYLVAN CIR, LYNNFIELD, MA 01940-1534
(781) 592-4235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MASS # 930
CHIROPRACTOR
MA
Enumeration date
06/12/2006
Last updated
07/08/2007
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