Organization
BROOKLINE NEWTON WHOLE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WU D.C. (OWNER)
(617) 413-8362
Entity
Organization
Contact information
Practice address
960 CENTRE ST, JAMAICA PLAIN, MA 02130-3045
(617) 413-8362
Mailing address
PO BOX 320258, WEST ROXBURY, MA 02132-0003
(617) 413-8362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1405
MA
111N00000X
Chiropractor
2710
MA
111N00000X
Chiropractor
3064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2490916
DEBORAH WU AETNA
MA
01
—
31221
LYDIE COLEMAN HPHC
MA
01
—
35472
DEBORAH WU HPHC
MA
01
—
3830317
LYDIE COLEMAN AETNA
MA
01
—
44-00391
DEBORAH WU UNITED HC/ACN
MA
01
—
668803
LYDIE COLEMAN UNITED HC
MA
01
—
Y39428
BCBS GROUP
MA
Enumeration date
06/22/2006
Last updated
10/25/2010
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