MEDICARE: DR. DAVID BRIAN OLIVER 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	3140	MA

General Provider Information

NPI Number	:	1922207711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BRIAN OLIVER D.C

Provider Business Mailing Address
First Line	:	60 AUSTIN ST
Second Line	:	STE 102
City	:	NEWTON
State	:	MA
Zip	:	02460-1857
Country	:	US
Telephone Number	:	617-641-9999
Fax Number	:	617-641-6767

Provider Business Practice Location Address
First Line	:	60 AUSTIN ST STE 102
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02460-1857
Country	:	US
Telephone Number	:	617-641-9999
Fax Number	:	617-641-6767

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	05/13/2020

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