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Individual

DR. BENJAMIN THOMAS ANDRULOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
47 MAIN ST, ORLEANS, MA 02653-2424
(508) 240-7600
(508) 240-7686
Mailing address
40 BLUE ROCK RD, SOUTH YARMOUTH, MA 02664-1333
(508) 240-7600
(508) 240-7686

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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