Individual
DR. SAMUEL SISTO-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
102 CHARLES ST, BOSTON, MA 02114-4607
(617) 720-1992
Mailing address
102 CHARLES ST, BOSTON, MA 02114-4607
(617) 720-1992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3678
MA
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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