Organization
BROCKTON SPINE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK T GIAMPA DC (OWNER)
(978) 250-0230
Entity
Organization
Contact information
Practice address
80-86 MAIN STREET, TAUNTON, MA 02780-1822
(508) 828-1400
Mailing address
101 BRICK KILN RD, BLDG 1, UNIT 5, CHELMSFORD, MA 01824-3282
(978) 250-0230
(978) 250-8424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39606
BCBS
MA
Enumeration date
06/04/2006
Last updated
12/12/2007
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