Organization
BACK TO HEALTH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DAVID MCNAMARA (OFFICE MANAGER)
(508) 752-7521
Entity
Organization
Contact information
Practice address
82 PARK AVE, WORCESTER, MA 01609-1742
(508) 752-7521
(508) 798-3418
Mailing address
82 PARK AVE, WORCESTER, MA 01609-1742
(508) 752-7521
(508) 798-3418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9725041
—
MA
Enumeration date
10/29/2007
Last updated
09/29/2011
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