Organization
J & M PRO P.C.
Active
Other names
Community Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY PROVENZANO D.C. (PRESIDENT)
(617) 689-0440
Entity
Organization
Contact information
Practice address
25 SCHOOL ST, SUITE B-2, QUINCY, MA 02169-6607
(617) 689-0440
(617) 689-0420
Mailing address
25 SCHOOL ST, SUITE B-2, QUINCY, MA 02169-6607
(617) 689-0440
(617) 689-0420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2886
MA
Other
Enumeration date
07/07/2008
Last updated
06/09/2010
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