Individual
DR. NICOLE MASTANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1020 PLAIN ST, SUITE 140, MARSHFIELD, MA 02050-2157
(781) 837-7300
(781) 834-7330
Mailing address
1020 PLAIN ST, SUITE 140, MARSHFIELD, MA 02050-2157
(781) 837-7300
(781) 834-7330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101391
AETNA
MA
05
—
1600681
—
MA
01
—
AA46029
HARVARD PILGRIM
MA
01
—
Y37029
BCBS OF MA
MA
Enumeration date
11/10/2005
Last updated
09/15/2022
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