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Individual

GEORGE THOMAS KREGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1652 DORCHESTER AVE, DORCHESTER, MA 02122-1317
(617) 436-0600
(617) 436-0605
Mailing address
489 TURNPIKE ST APT 5-8, SOUTH EASTON, MA 02375-1743
(508) 230-1815

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2914
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3693937
AETNA
MA
01
AA38073
HARVARD PILGRIM
MA
01
Y37104
BLUE CROSS&BLUESHIELD
MA
Enumeration date
07/05/2006
Last updated
07/08/2007
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