Organization
ADVANCED BACK & NECK CENTER OF HOLYOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELA BONAVITA (OFFICE MANAGER)
(413) 732-0088
Entity
Organization
Contact information
Practice address
172 HIGH ST, HOLYOKE, MA 01040-6506
(413) 538-7200
(413) 737-9879
Mailing address
155 UNION ST, SPRINGFIELD, MA 01105-2010
(413) 732-0088
(413) 737-9879
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39158
BCBS GROUP #
MA
Enumeration date
05/25/2006
Last updated
08/22/2020
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