Organization
TARDANICO CHIROPRACTIC OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TARDANICO DC (CHIROPRACTOR)
(617) 479-7231
Entity
Organization
Contact information
Practice address
792 SOUTHERN ARTERY, QUINCY, MA 02169-5747
(617) 479-7231
Mailing address
792 SOUTHERN ARTERY, QUINCY, MA 02169-5747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326131
TUFTS GROUP PROVIDER NUMB
—
Enumeration date
09/07/2007
Last updated
09/07/2007
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