Individual
DR. JONATHAN KEITH MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1093 BEACON ST, SUITE 204, BROOKLINE, MA 02446-5623
(617) 566-0934
(617) 734-0066
Mailing address
1093 BEACON ST, SUITE 204, BROOKLINE, MA 02446-5623
(617) 566-0934
(617) 734-0066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
804
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712115
TUFTS HEALTH PLANS
MA
01
—
Y35565
BLUE SHIELD
MA
Enumeration date
12/11/2006
Last updated
07/08/2007
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