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Individual

DR. DERMOT CONNOLE JINKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
49 CENTRAL ST, SUITE 1A, PEABODY, MA 01960-4375
(978) 531-0202
(978) 532-7076
Mailing address
402 ROWLAND ST, BALLSTON SPA, NY 12020-2684
(518) 363-0202
(518) 363-0711

Taxonomy

Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
Primary
X011848
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y36302
BLUE CROSS BLUE SHIELD #
MA
Enumeration date
09/05/2006
Last updated
10/26/2016
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