MEDICARE: DR. PIERRE DANIEL ABDILMASIH 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	111NN1001X	Nutrition Chiropractor	2880	MA

General Provider Information

NPI Number	:	1275591810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIERRE DANIEL ABDILMASIH D.C.

Provider Business Mailing Address
First Line	:	1 MARGARETS CV
Second Line	:
City	:	FRANKLIN
State	:	MA
Zip	:	02038-2792
Country	:	US
Telephone Number	:	508-446-5955
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 BLUE HILL AVE
Second Line	:
City	:	ROXBURY
State	:	MA
Zip	:	02119-2152
Country	:	US
Telephone Number	:	617-989-8881
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/08/2007

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