Individual
DR. JACK MARCHALEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
130 MAIN ST, BLDG 2 UNIT D, NORTHBOROUGH, MA 01532
(508) 393-7177
(508) 393-7171
Mailing address
130 MAIN ST, BLDG 2 UNIT D, NORTHBOROUGH, MA 01532
(508) 393-7177
(508) 393-7171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3198
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6473700001
MEDICARE PTAN
MA
Enumeration date
07/21/2008
Last updated
03/01/2017
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