Organization
MADDALO CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE M MADDALO DC (CHIROPRACTOR)
(617) 547-4444
Entity
Organization
Contact information
Practice address
257 CAMBRIDGE ST, #1, CAMBRIDGE, MA 02141-1272
(617) 547-4444
(617) 576-2842
Mailing address
257 CAMBRIDGE ST, #1, CAMBRIDGE, MA 02141-1272
(617) 547-4444
(617) 576-2842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
903
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36051
BLUE CROSS LEGACY
MA
Enumeration date
09/05/2007
Last updated
06/26/2013
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