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BACK TO BASICS CHIROPRACTIC CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY MICHAEL DULSKI DC (PRESIDENT)
(301) 468-2225
Entity
Organization

Contact information

Practice address
4701 RANDOLPH RD, SUITE G5, ROCKVILLE, MD 20852-2259
(301) 468-2225
Mailing address
4701 RANDOLPH RD, SUITE G5, ROCKVILLE, MD 20852-2259
(301) 468-2225

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07CFSM
BCBS PROVIDER NUMBER
MD
01
41030001
BCBS FEDERAL
MD
Enumeration date
06/20/2011
Last updated
06/20/2011
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