Individual
DR. BENJAMIN THOMAS ANDRULOT
Active
Individual
DR. BENJAMIN THOMAS ANDRULOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2879
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600541
MASSHEALTH
MA
01
—
1660669
CIGNA HEALTHCARE
MA
01
—
7335964
AETNA HEALTHCARE
MA
01
—
AA80633
HARVARD PILGRIM HEALTH
MA
01
—
Y37048
BCBS OF MA
MA
Enumeration date
02/01/2006
Last updated
07/08/2007
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