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Organization

ORIENT HEIGHTS CHIROPRACTIC OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW JAMES MALLEN DC (CHIROPRACTOR)
(617) 569-6607
Entity
Organization

Contact information

Practice address
1214 BENNINGTON ST, EAST BOSTON, MA 02128-1203
(617) 569-6607
(617) 569-8302
Mailing address
1214 BENNINGTON ST, EAST BOSTON, MA 02128-1203
(617) 569-6607
(617) 569-8302

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
681
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1601776
MA
01
714763
TUFTS
MA
01
Y35466
BCBS
MA
Enumeration date
11/29/2006
Last updated
07/09/2008
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