Organization
MULAK CHIROPRACTIC CENTER INC
Active
Other names
CitySide Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES MULAK DC (CHIROPRACTIC PHYSICIAN)
(401) 272-5710
Entity
Organization
Contact information
Practice address
411 BROADWAY, PROVIDENCE, RI 02909
(401) 272-5710
(401) 272-5711
Mailing address
411 BROADWAY, PROVIDENCE, RI 02909
(401) 272-5710
(401) 272-5711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00464
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214665
BCBS
RI
01
—
410060
BLUE CHIP
RI
01
—
648874
UNITED HEALTH
RI
Enumeration date
03/05/2007
Last updated
01/11/2008
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