Organization
BROADWAY FAMILY CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD ABATE D.C. (PRESIDENT)
(781) 289-9223
Entity
Organization
Contact information
Practice address
85 BROADWAY, REVERE, MA 02151-5302
(781) 289-9223
(781) 289-0324
Mailing address
85 BROADWAY, REVERE, MA 02151-5302
(781) 289-9223
(781) 289-0324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRY39078
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/04/2007
Last updated
08/22/2020
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