MEDICARE: AARON POLLOCK, PC

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	2758	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y39871	OTHER	MA	BLUE CROSS LEGACY NUMBER

General Provider Information

NPI Number	:	1861687949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON POLLOCK, PC

Provider Business Mailing Address
First Line	:	790 TURNPIKE ST
Second Line	:	SUITE 300
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6144
Country	:	US
Telephone Number	:	978-327-5960
Fax Number	:	978-327-5962

Provider Business Practice Location Address
First Line	:	790 TURNPIKE ST
Second Line	:	SUITE 300
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6144
Country	:	US
Telephone Number	:	978-327-5960
Fax Number	:	978-327-5962

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. AARON JEFFREY POLLOCK
Credential	:	D.C.
Telephone Number	:	978-327-5960

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	09/11/2007

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