NPI 1114388162

Boston Wellness Health Care Corporation

Organisation Chiropractor Boston, MA

Practice location

Address: 1377 Dorchester Ave, Boston, MA 02122-2950
Phone: (617) 822-0900
Fax: (617) 822-0800

Authorised official

Name: Thomas Stephen Sullivan
Title: Chief Professional Officer
Phone: (617) 822-0900

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 385 (MA)

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Registry record

NPI: 1114388162
Entity type: Organization
NPI issued: 17 Mar 2016
Record last updated: 17 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.