Individual
DR. EDWARD PERKINS JASTRAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
895 ARCADE AVE, SEEKONK, MA 02771-5308
(508) 336-5010
Mailing address
895 ARCADE AVE, SEEKONK, MA 02771-5308
(508) 336-5010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36459
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
11/02/2006
Last updated
07/09/2007
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