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Individual

DR. SCOTADAM JUDAH CHERNOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
322 MAIN ST, GLOUCESTER, MA 01930-3011
(978) 281-0049
(978) 282-1537
Mailing address
322 MAIN ST, GLOUCESTER, MA 01930-3011
(978) 281-0049
(978) 282-1537

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2075
MA
111N00000X
Chiropractor
X0083881
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350084
HARVARD PILGRIM
MA
01
765787
TUFTS
01
Y36454
BCBS
MA
01
Y39202
BCBS GROUP #
MA
Enumeration date
08/31/2006
Last updated
07/06/2012
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