Organization
ADVANCED WELLNESS & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUSHAR PATEL (OWNER)
(508) 679-0010
Entity
Organization
Contact information
Practice address
1155 PURCHASE ST, NEW BEDFORD, MA 02740
(508) 997-2900
(508) 991-4432
Mailing address
427 PLYMOUTH AVE, FALL RIVER, MA 02721
(508) 679-0010
(508) 672-4679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24210
BLUE SHIELD
RI
01
—
Q02369
BLUE SHIELD
MA
Enumeration date
11/20/2006
Last updated
09/11/2025
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