MEDICARE: MELISSA ANN TOBIN 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	2124	MA

General Provider Information

NPI Number	:	1932103207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN TOBIN D.C.

Provider Business Mailing Address
First Line	:	82 PARK AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-1742
Country	:	US
Telephone Number	:	508-752-7521
Fax Number	:	508-798-3418

Provider Business Practice Location Address
First Line	:	82 PARK AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-1742
Country	:	US
Telephone Number	:	508-752-7521
Fax Number	:	508-798-3418

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	01/11/2012

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Directions to “ MELISSA ANN TOBIN D.C.” Practice Location

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