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Organization

B.R. CHIROPRACTIC MANAGEMENT, INC

Active
Other names
Sofia Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK SOFIA DC (OWNER)
(978) 687-7117
Entity
Organization

Contact information

Practice address
25 MARSTON ST STE 205, LAWRENCE, MA 01841-2357
(978) 687-7117
(978) 687-7417
Mailing address
25 MARSTON ST STE 205, LAWRENCE, MA 01841-2357
(978) 687-7117
(978) 687-7417

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1930
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1610562
MA
01
Y36382
BC & BS INDIVIDUAL
MA
01
Y39388
BC & BS GROUP
MA
Enumeration date
12/18/2006
Last updated
01/16/2024
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