Individual
DR. BRIAN V AVITABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1665 FALMOUTH RD, CENTERVILLE, MA 02632-2944
(508) 778-5005
(508) 778-5006
Mailing address
1665 FALMOUTH RD, CENTERVILLE, MA 02632-2944
(508) 778-5005
(508) 778-5006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699903
—
MA
01
—
6342264
CIGNA
MA
01
—
AA118684
HARVARD PILGRIM HEALTHCARE
MA
01
—
P00462880
MEDICARE RAILROAD
MA
01
—
Y36619
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
07/21/2022
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