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WALTHAM CHIROPRACTIC PC NPI 1689719502


NPI Information

NPI: 1689719502
Provider Name: WALTHAM CHIROPRACTIC PC

Other Name: DR JOHN DUFFY

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
425 RIVER ST
WALTHAM, MA
ZIP 02453
Phone: (781) 894-4270
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WALTHAM CHIROPRACTIC PC is a chiropractor in Waltham, MA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WALTHAM CHIROPRACTIC PC NPI is 1689719502. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr John Duffy.

The provider's business location address is:

425 RIVER ST
WALTHAM, MA
ZIP 02453
Phone: (781) 894-4270
Fax: (781) 894-0461

The provider's authorized official is John Cassidy Duffy .
The authorized official title is Dr President and has the following contact phone number (781) 894-4270.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 12/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1644MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
179917MEDICAIDMASSACHUSETTS
2Y36152MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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