MEDICARE: DR. DEVORAH LYNN FEINBLOOM 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	111N00000X	Chiropractor	783	MA

General Provider Information

NPI Number	:	1700882453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVORAH LYNN FEINBLOOM D.C.

Provider Business Mailing Address
First Line	:	60 LEWIS RD
Second Line	:
City	:	SWAMPSCOTT
State	:	MA
Zip	:	01907-2329
Country	:	US
Telephone Number	:	781-367-7723
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SPRING ST
Second Line	:
City	:	MARBLEHEAD
State	:	MA
Zip	:	01945-3314
Country	:	US
Telephone Number	:	781-639-0010
Fax Number	:

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/22/2016

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