Organization
MUGAVERO CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DER BOGOSIAN (BILLING OFFICE REP)
(978) 374-3732
Entity
Organization
Contact information
Practice address
5A S CENTRAL ST, BRADFORD, MA 01835-7411
(978) 521-7111
Mailing address
5A S CENTRAL ST, BRADFORD, MA 01835-7411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39579
BLUECROSS BLUESHIELD
MA
Enumeration date
09/05/2007
Last updated
09/05/2007
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