Organization
BRIDGEWATER SQUARE CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A. PERRY D.C. (OWNER)
(508) 697-0050
Entity
Organization
Contact information
Practice address
63 MAIN ST, BRIDGEWATER, MA 02324-1455
(508) 697-1831
(508) 697-0882
Mailing address
63 MAIN ST, BRIDGEWATER, MA 02324-1455
(508) 697-1831
(508) 697-0882
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990813
AETNA
MA
01
—
351229
HARVARD PILGRIM
MA
01
—
792311
TUFTS
MA
01
—
Y40043
BCBS GROUP PROVIDER #
MA
Enumeration date
04/02/2007
Last updated
04/21/2015
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