MEDICARE: JASON HOLT MAVOR 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
1	111N00000X	Chiropractor	30920	CA
2	111N00000X	Chiropractor	3254	MA

General Provider Information

NPI Number	:	1619134954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON HOLT MAVOR D.C.

Provider Business Mailing Address
First Line	:	279 MOUNT AUBURN ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-1955
Country	:	US
Telephone Number	:	617-393-3472
Fax Number	:	617-393-3473

Provider Business Practice Location Address
First Line	:	279 MOUNT AUBURN ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-1955
Country	:	US
Telephone Number	:	617-393-3472
Fax Number	:	617-393-3473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	06/03/2026

Similar Medicare Providers

1871600023 — DR. PHILIP DOMINIC FANTASIA JR. DDS
Practice Location Address:

293 MOUNT AUBURN ST
WATERTOWN, MA
02472-1955

Practice Phone: 617-923-9446
Practice Fax: 617-923-4250

1518151760 — PHILIP D FANTASIA JR DDS
Practice Location Address:

293 MOUNT AUBURN ST
WATERTOWN, MA
02472-1955

Practice Phone: 617-923-9446
Practice Fax: 617-923-4750

1780091363 — FANTASIA, FAILLA, AND DEFRANCESCO FAMILY DENTISTRY
Practice Location Address:

293 MOUNT AUBURN ST
WATERTOWN, MA
02472-1955

Practice Phone: 617-923-9446
Practice Fax: 617-923-4250

1992537773 — GAIT WAY TO WELLNESS PHYSICAL THERAPY
Practice Location Address:

279 MOUNT AUBURN ST
WATERTOWN, MA
02472-1955

Practice Phone: 978-314-5061
Practice Fax:

1255263695 — TALIA MANGO
Practice Location Address:

175 N BEACON ST
WATERTOWN, MA
02472-2790

Practice Phone: 617-972-7508
Practice Fax:

1710980230 — DR. JAHANSOUZ SHOKRI M.D.
Practice Location Address:

485 ARSENAL ST , INTERNAL MEDICINE
WATERTOWN, MA
02472-5091

Practice Phone: 617-972-5240
Practice Fax: 617-972-5512

Directions to “ JASON HOLT MAVOR D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.