Individual
BRIAN J TRUDNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
833 ROUTE 28, ROUTE 28, S YARMOUTH, MA 02664-5254
(508) 394-1353
(508) 398-2866
Mailing address
833 ROUTE 28, ROUTE 28, S YARMOUTH, MA 02664-5254
(508) 394-1353
(508) 398-2866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112700
FALLON
MA
01
—
11824901
CAQH
MA
01
—
9252400
CIGNA
MA
01
—
9340113
AETNA
MA
01
—
AA118776
HARVARD PILGRIM HEALTHCARE
MA
Enumeration date
02/14/2008
Last updated
01/22/2010
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