Individual
JOEL D FAVREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 BROADWAY, CAMBRIDGE, MA 02139-1955
(781) 422-1012
Mailing address
201 BROADWAY, CAMBRIDGE, MA 02139-1955
(781) 422-1012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3260
MA
Other
Enumeration date
09/24/2009
Last updated
02/06/2010
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