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NPI Code Detail

MEDICARE: DR. JONATHAN DAVID STEIN DC

MEDICARE: DR. JONATHAN DAVID STEIN 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
1111N00000XChiropractor523MA

General Provider Information

NPI Number : 1720115926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN DAVID STEIN DC
Provider Business Mailing Address
First Line : 111 WILLARD ST
Second Line : STE 2A
City : QUINCY
State : MA
Zip : 02169-1200
Country : US
Telephone Number : 617-471-5053
Fax Number : 617-984-0636
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 : 02/27/2007
Last Update Date : 02/19/2013

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Directions to “ DR. JONATHAN DAVID STEIN DC” Practice Location

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