Individual
DR. MARK EDWARD CZERNIAK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
98 MONTGOMERY ROAD, WESTFIELD, MA 01085
(413) 210-5658
Mailing address
98 MONTGOMERY ROAD, WESTFIELD, MA 01085
(413) 210-5658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2628
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600192
—
MA
01
—
AA38091
HARVARD PILGRIM
MA
01
—
Y36848
BCBS
MA
Enumeration date
01/30/2007
Last updated
06/08/2011
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