Individual
MICHAEL VINCENT FRUSTACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9 MAIN STREET, SUITE 2B, MANCHAUG, MA 01526
(508) 476-2244
Mailing address
PO BOX 417, 9 MAIN STREET SUITE 2B, MANCHAUG, MA 01526-0417
(508) 476-2244
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
1500
MA
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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