Organization
SEAPORT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN T RUOCCO (CHIROPRACTOR)
(781) 631-3333
Entity
Organization
Contact information
Practice address
28 BESSOM STREET, MARBLEHEAD, MA 01945
(781) 631-3333
(781) 631-3339
Mailing address
28 BESSOM ST, MARBLEHEAD, MA 01945-2329
(781) 631-3333
(781) 631-3339
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA3020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y45814
PROVIDER ID
MA
Enumeration date
05/13/2014
Last updated
05/13/2014
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