Individual
DR. STUART A EZRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1464 BEACON ST, WABAN, MA 02468-1613
(617) 969-0166
Mailing address
1464 BEACON ST, WABAN, MA 02468-1613
(617) 969-0166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1333
MA
Other
Enumeration date
09/03/2006
Last updated
07/09/2007
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