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NPI Code Detail

MEDICARE: JOHN DANCHIK D.C.

MEDICARE:   JOHN  DANCHIK  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
1111N00000XChiropractor260MA

General Provider Information

NPI Number : 1386748960
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DANCHIK D.C.
Provider Business Mailing Address
First Line : 32 PHILIP RD
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-6135
Country : US
Telephone Number : 617-489-5769
Fax Number :
Provider Business Practice Location Address
First Line : 725 CONCORD AVE
Second Line : SUITE 4100
City : CAMBRIDGE
State : MA
Zip : 02138-1040
Country : US
Telephone Number : 617-864-8822
Fax Number : 617-547-5367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 07/08/2007

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