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NPI Code Detail

MEDICARE: STEPHANIE MONTEAGUDO DC

MEDICARE: STEPHANIE MONTEAGUDO DC
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
1111N00000XChiropractor3021MA

General Provider Information

NPI Number : 1093737348
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MONTEAGUDO DC
Provider Business Mailing Address
First Line : 6 NELSON ST
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4045
Country : US
Telephone Number : 617-750-9755
Fax Number :
Provider Business Practice Location Address
First Line : 75 FINNELL DR
Second Line :
City : WEYMOUTH
State : MA
Zip : 02188-1110
Country : US
Telephone Number : 781-682-9755
Fax Number : 781-335-7851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 01/24/2018

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Directions to “ STEPHANIE MONTEAGUDO DC” Practice Location

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