Organization
ATLANTIC FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE K ANDRADE DC (PRESIDENT)
(978) 282-1191
Entity
Organization
Contact information
Practice address
85 EASTERN AVENUE, GLOUCESTER, MA 01930
(978) 282-1191
(978) 282-1193
Mailing address
85 EASTERN AVENUE, GLOUCESTER, MA 01930
(978) 282-1191
(978) 282-1193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
323
MA
111N00000X
Chiropractor
Primary
CH2489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696955
—
MA
Enumeration date
09/20/2007
Last updated
05/12/2009
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