Organization
FEDERAL INJURY CENTER OF BOSTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY PROVENZANO DC (PRESIDENT)
(617) 689-0440
Entity
Organization
Contact information
Practice address
280 SUMMER ST, BOSTON, MA 02210-1131
(617) 689-0440
Mailing address
280 SUMMER ST, BOSTON, MA 02210-1131
(617) 689-0440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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