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Individual

DR. MICHAEL ETHAN CHARTOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
162 BOYLSTON ST, SUITE 41, BOSTON, MA 02116-4613
(617) 451-1111
(617) 451-1122
Mailing address
162 BOYLSTON ST, SUITE 41, BOSTON, MA 02116-4613
(617) 451-1111
(617) 451-1122

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2236
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21224282786-01
BEECH ST
MA
01
26133
FALLEN
MA
01
2691716
AETNA
MA
01
350446
HARVARD PILGRIM
MA
01
794755
TUFTS
MA
01
P3197246
OXFORD
MA
01
Y36585
BCBS
MA
Enumeration date
06/30/2005
Last updated
07/08/2007
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