Organization
ADVANCED BACK & NECK CENTER OF SPRINGFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELA BONAVITA (OFFICE MANAGER)
(413) 732-0088
Entity
Organization
Contact information
Practice address
155 UNION ST, SPRINGFIELD, MA 01105-2010
(413) 732-0088
(413) 737-9879
Mailing address
155 UNION ST, SPRINGFIELD, MA 01105-2010
(413) 732-0088
(413) 737-9879
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39125
BCBS GROUP #
MA
Enumeration date
05/26/2006
Last updated
08/22/2020
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