Organization
DARK HORSE, INCOR.
Active
Other names
BROADWAY CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M ADAMS (PRESIDENT)
(617) 287-2711
Entity
Organization
Contact information
Practice address
176 BROADWAY, SOMERVILLE, MA 02145-3129
(617) 776-7576
(671) 776-4930
Mailing address
176 BROADWAY, SOMERVILLE, MA 02145-3129
(617) 776-7576
(671) 776-4930
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39216
BC & BS
MA
Enumeration date
01/25/2007
Last updated
08/22/2020
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