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Individual

DR. MARK CHARLES JAEHNIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
110 BILLINGS RD, QUINCY, MA 02171-2306
(617) 773-4400
(617) 773-0255
Mailing address
110 BILLINGS RD, QUINCY, MA 02171-2306
(617) 773-4400
(617) 773-0255

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
#744
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
352339
HARVARD PILGRIM
MA
01
651284
UNITED HEALTHCARE
MA
01
715146
TUFTS HEALTH
MA
01
7895158
CIGNA HEALTHCARE
MA
Enumeration date
12/11/2006
Last updated
07/08/2007
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