Organization
MAIN STREET CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN LEONARD BROCK D.C. (MANAGER)
(617) 924-8558
Entity
Organization
Contact information
Practice address
182 MAIN ST, WATERTOWN, MA 02472-4409
(617) 924-8558
(617) 924-8559
Mailing address
182 MAIN ST, WATERTOWN, MA 02472-4409
(617) 924-8558
(617) 924-8559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3018
MA
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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