Individual
DR. NORMAN JOSEPH THERIAULT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
33 YALE AVE, WAKEFIELD, MA 01880-2308
(781) 245-2266
(781) 245-2267
Mailing address
33 YALE AVE, WAKEFIELD, MA 01880-2308
(781) 245-2266
(781) 245-2267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
719865
TUFTS HEALTH PLAN
MA
01
—
Y35077
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/18/2005
Last updated
07/08/2007
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