Organization
STOUGHTON STREET CHIROPRACTIC & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C. FAHEY D.C. (V.P.)
(617) 379-3013
Entity
Organization
Contact information
Practice address
19 STOUGHTON ST, DORCHESTER, MA 02125-3402
(617) 379-3013
Mailing address
19 STOUGHTON ST, DORCHESTER, MA 02125-3402
(617) 379-3013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA 2213
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461056
TUFTS
—
01
—
U68533
HARVARD PILGRIM
—
01
—
Y36538
BC BS OF MA.
—
Enumeration date
01/20/2009
Last updated
01/20/2009
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