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NPI Code Detail

MEDICARE: RAYMOND M IERONIMO D.C.

MEDICARE: RAYMOND M IERONIMO D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor925MA

General Provider Information

NPI Number : 1275539827
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND M IERONIMO D.C.
Provider Business Mailing Address
First Line : 222 S MAIN ST
Second Line :
City : BRADFORD
State : MA
Zip : 01835-7352
Country : US
Telephone Number : 978-373-6030
Fax Number :
Provider Business Practice Location Address
First Line : 222 S MAIN ST
Second Line :
City : BRADFORD
State : MA
Zip : 01835-7352
Country : US
Telephone Number : 978-373-6030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/06/2012

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Directions to “ RAYMOND M IERONIMO D.C.” Practice Location

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