Organization
DORCHESTER CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD BLACKWOOD D.C. (OWNER)
(617) 436-5454
Entity
Organization
Contact information
Practice address
1504 DORCHESTER AVE # B, DORCHESTER, MA 02122-1327
(617) 436-5454
(617) 436-5667
Mailing address
1504 DORCHESTER AVE # B, DORCHESTER, MA 02122-1327
(617) 436-5454
(617) 436-5667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1613383
—
MA
Enumeration date
01/19/2007
Last updated
09/06/2013
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