Organization
FBBB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ANTHONY CORDIMA D.C. (OWNER)
(781) 393-0055
Entity
Organization
Contact information
Practice address
49 MYSTIC AVE, MEDFORD, MA 02155-4613
(781) 393-0055
(781) 393-0057
Mailing address
49 MYSTIC AVE, MEDFORD, MA 02155-4613
(781) 393-0055
(781) 393-0057
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
143
MA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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