Healthcare Provider Details

I. General information

NPI: 1306574637
Provider Name (Legal Business Name): GOLDBERG FAMILY CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2022
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 CENTRAL ST
SAUGUS MA
01906-2107
US

IV. Provider business mailing address

194 CENTRAL ST
SAUGUS MA
01906-2107
US

V. Phone/Fax

Practice location:
  • Phone: 781-233-2016
  • Fax:
Mailing address:
  • Phone: 781-233-2016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW GOLDBERG
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 781-233-2016