Organization
CHARLES STREET FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER QUIGLEY DC (DIRECTOR)
(617) 720-1992
Entity
Organization
Contact information
Practice address
102 CHARLES ST, BOSTON, MA 02114-4607
(617) 720-1992
(617) 248-9916
Mailing address
102 CHARLES ST, BOSTON, MA 02114-4607
(617) 720-1992
(617) 248-9916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1537
MA
111N00000X
Chiropractor
702
MA
225100000X
Physical Therapist
18287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M21857
MEDICARE GROUP ID
—
Enumeration date
12/01/2011
Last updated
12/01/2011
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