Individual
DR. BRUCE INDEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
71 PARKINGWAY ST, QUINCY, MA 02169-5059
(617) 472-0661
(617) 774-1700
Mailing address
17 ADAMS RD, COHASSET, MA 02025-1055
(781) 383-0961
(781) 383-3129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
765
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714080
TUFTS HEALTH PLAN
MA
Enumeration date
02/19/2006
Last updated
07/08/2007
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