Organization Name: | FAMILY CHIROPRACTIC CENTER |
NPI Number: | 1194806992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACY ANN GOLDBERG (OWNER) |
Mailing Address: | 194 Central St Saugus |
State: | MA US |
Postal Code: | 019062107 |
Phone Number: | 7812332016 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 17077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |