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Organization

WOBURN FAMILY CHIROPRACTIC, INC.

Active
Other names
North Shore Spine & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL PENDOLINO D.C. (PRESIDENT)
(781) 938-9400
Entity
Organization

Contact information

Practice address
20 CUMMINGS PARK, WOBURN, MA 01801-2122
(781) 938-9400
(781) 938-9323
Mailing address
20 CUMMINGS PARK, WOBURN, MA 01801-2122
(781) 938-9400
(781) 938-9323

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
157
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
460083
TUFTS
MA
01
AA7544
HARVARD PILGRIM HEALTH
MA
01
Y39722
BCBS GROUP#
MA
Enumeration date
02/08/2007
Last updated
02/11/2008
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