| Medford Chiropractic Center | |
|
314 Main St, Medford, MA 02155-6160 | |
| (781) 396-1070 | |
| Not Available |
| Full Name | Medford Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 314 Main St, Medford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093836074 | NPI | - | NPPES |
| 714011 | Other | MA | TUFTS |
| Y39028 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Massachusetts) | Primary |
| Provider Name | Carl J Virusso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750490595 PECOS PAC ID: 2365355211 Enrollment ID: I20031107000218 |
| Provider Name | Diane L Sofia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801972278 PECOS PAC ID: 3173515111 Enrollment ID: I20040331000975 |
| Provider Name | Ian J Boehm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467405134 PECOS PAC ID: 8426068735 Enrollment ID: I20060502000242 |
| Provider Name | Jon E Horvath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528492790 PECOS PAC ID: 6507000858 Enrollment ID: I20220303000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Chiropractic Center 314 Main St, Medford, MA 02155-6160 Ph: () - | Medford Chiropractic Center 314 Main St, Medford, MA 02155-6160 Ph: (781) 396-1070 |
Degre Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 92 High St Ste Dh32, Medford, MA 02155 Phone: 781-391-1072 | |
Dr. Andrew L Keehn, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 314 Main St, Medford, MA 02155 Phone: 781-396-1070 Fax: 781-396-6607 | |
Dr. Laura Jansen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 151 Mystic Ave, Suite 1, Medford, MA 02155 Phone: 617-930-6205 | |
Sbr Sports Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 151 Mystic Ave, Suite 1, Medford, MA 02155 Phone: 617-930-6205 | |
Dr. Sonia Maria Pasquale, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18 Roosevelt Rd, Medford, MA 02155 Phone: 781-475-0769 | |
Dr. Diane Louise Sofia, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 314 Main St, Medford, MA 02155 Phone: 781-396-1070 |