Organization
FAIRWAY CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MAGUIRE DC (PRESIDENT)
(978) 851-9055
Entity
Organization
Contact information
Practice address
1501 MAIN ST, UNIT 2, TEWKSBURY, MA 01876-4725
(978) 851-9055
(978) 851-9033
Mailing address
1501 MAIN ST, UNIT 2, TEWKSBURY, MA 01876-4725
(978) 851-9055
(978) 851-9033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
97
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689907
TUFTS HEALTH PLAN
MA
01
—
Y39244
BCBS OF MA
MA
Enumeration date
12/18/2006
Last updated
10/30/2014
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