Organization
FULL POTENTIAL CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA GAMBALE OBRIEN DC (PRESIDENT)
(781) 593-2388
Entity
Organization
Contact information
Practice address
186 BURRILL ST, SWAMPSCOTT, MA 01907-1835
(781) 593-2388
(781) 593-2399
Mailing address
186 BURRILL ST, SWAMPSCOTT, MA 01907-1835
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y35625
MEDICARE LEGACY NUMBER
MA
Enumeration date
10/11/2007
Last updated
04/23/2014
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