Individual
CARL VIRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
372 WASHINGTON STREET, WELLESLEY, MA 02481
(781) 235-5200
(781) 235-1103
Mailing address
2500 MASSACHUSETTS AVENUE, CAMBRIDGE, MA 02140
(617) 661-6225
(617) 492-2002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144402
AETNA
MA
01
—
319326
TUFTS HEALTH PLAN
MA
01
—
646901
UNITED HEALTH CARE
MA
01
—
AA51163
HARVARD PILGRIM
MA
01
—
B21198402
CIGNA
MA
01
—
Y36498
BCBS
MA
Enumeration date
08/29/2006
Last updated
07/09/2007
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