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Individual

MR. STUART MCLELLAN GREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1141 BEACON ST STE C1, BROOKLINE, MA 02446-5507
(617) 738-7428
(617) 739-3354
Mailing address
36 HAMPSTEAD RD, JAMAICA PLAIN, MA 02130-3911
(617) 522-2837

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1772
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y36287
B.C.B.S. OF MA PROVIDER
MA
Enumeration date
02/14/2007
Last updated
07/08/2007
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