Organization
KHALSA CHIROPRACTIC OFFICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH MCCABE (OFFICE MANAGER)
(617) 492-5438
Entity
Organization
Contact information
Practice address
1718 MASS AVE, CAMBRIDGE, MA 02138
(617) 492-5438
(617) 868-4611
Mailing address
1718 MASS AVE, CAMBRIDGE, MA 02138
(617) 492-5438
(617) 868-4611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y35629
BCBS
MA
01
—
Y39892
BCBS GP
MA
Enumeration date
03/02/2007
Last updated
02/19/2009
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