| Riverside Chiropractic Center | |
|
65 Riverside Ave Ste C Medford MA 02155-4653 | |
| (781) 395-0003 | |
| (781) 395-2223 |
| Full Name | Riverside Chiropractic Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 Riverside Ave Ste C, Medford, Massachusetts |
| Authorized Official Name and Position | Reza Pourshadi (PRESIDENT) |
| Authorized Official Contact | 7813950003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Chiropractic Center 181 Taft Rd Wilmington MA 01887-2820 Ph: (781) 395-0003 | Riverside Chiropractic Center 65 Riverside Ave Ste C Medford MA 02155-4653 Ph: (781) 395-0003 |
| NPI Number | 1023372067 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 3375792732 |
|---|---|
| Medicare Enrollment ID | O20121001000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023372067 | NPI | - | NPPES |
| 1697218 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2413 (Massachusetts) | Primary |
| Provider Name | Reza Pourshadi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861412827 PECOS PAC ID: 3274589247 Enrollment ID: I20050323000981 |
Winchester Wound Care Specialists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Riverside Ave Ste 4, Medford, MA 02155 Phone: 781-756-7095 | |
Riverside Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Riverside Ave, Suite 3, Medford, MA 02155 Phone: 781-396-3701 Fax: 781-396-7716 | |
Robert P. Williamson Md, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Forest St, Medford, MA 02155 Phone: 781-396-4048 | |
Mystic Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-391-4106 Fax: 781-391-3043 | |
Iora Health Massachusetts, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 287 Middlesex Ave, Medford, MA 02155 Phone: 781-222-3033 Fax: 781-281-9927 | |
Mystic Valley Medical Associates Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Main St, Suite 110, Medford, MA 02155 Phone: 781-396-4514 Fax: 781-395-4778 |