Individual
DR. KEITH GARRETT WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
362 BELMONT ST, BROCKTON, MA 02301-4950
(508) 584-6622
(508) 584-7744
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
012786
NY
111N00000X
Chiropractor
2031
CT
111N00000X
Chiropractor
Primary
3623
MA
Other
Enumeration date
01/05/2016
Last updated
08/22/2019
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