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Organization

PINE GROVE CHIROPRACTIC, P.C.

Active
Other names
Carol Duphily, D.C.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL A. DUPHILY D.C. (OWNER)
(508) 998-8444
Entity
Organization

Contact information

Practice address
934 ASHLEY BOULEVARD, NEW BEDFORD, MA 02745
(908) 998-8444
(508) 998-9777
Mailing address
934 ASHLEY BOULEVARD, NEW BEDFORD, MA 02745
(908) 998-8444
(508) 998-9777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1288
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1611666
MA
01
Y39254
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
11/14/2007
Last updated
02/05/2010
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