Individual
LAUREL FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
51 MAIN ST, GLOUCESTER, MA 01930-5791
(978) 281-5131
(978) 290-4344
Mailing address
51 MAIN ST, GLOUCESTER, MA 01930-5791
(978) 281-5131
(978) 290-4344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1558
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351966
HARVARD PILGRIM
MA
01
—
351966
HARVARD PILGRIM
—
01
—
725127
TUFTS HEALTH PLAN
MA
01
—
Y36086
BCBS
MA
01
—
Y36086
BCBS
—
Enumeration date
09/15/2006
Last updated
01/14/2015
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