Healthcare Provider Details
I. General information
NPI: 1689730525
Provider Name (Legal Business Name): RICHARD N GARIAN D.C. LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
657 FRANKLIN ST
FRAMINGHAM MA
01702-2919
US
IV. Provider business mailing address
657 FRANKLIN ST
FRAMINGHAM MA
01702-2919
US
V. Phone/Fax
- Phone: 508-879-9458
- Fax: 508-879-4053
- Phone: 508-879-9458
- Fax: 508-879-4053
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | 420 |
| License Number State | MA |
VIII. Authorized Official
Name: DR.
RICHARD
N
GARIAN
Title or Position: OWNER
Credential: D.C.
Phone: 508-879-9458