Scotadam Judah Chernov in Gloucester - Chiropractor
Scotadam Judah Chernov - NPI 1801908314
Scotadam Judah Chernov is a Chiropractor in Gloucester, Massachusetts. Scotadam Judah Chernov practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Scotadam Judah Chernov is 1801908314. The last update date is 2012-07-06.
Scotadam Judah Chernov's current location address is 322 Main St, Gloucester, Massachusetts. You can contact this provider via phone number 9782810049 and fax number 9782821537. The mailing address for Scotadam Judah Chernov is 322 Main St, Gloucester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Scotadam Judah Chernov |
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Address | 322 Main St, Gloucester, Massachusetts |
Phone Number | 9782810049 |
Fax Number | 9782821537 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1801908314 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2012-07-06 |
Provider Mailing Address Detail
Address | 322 Main St |
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City | Gloucester |
State | Massachusetts (MA) |
Post Code | 19303011 |
Phone Number | 9782810049 |
Fax Number | 9782821537 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2075 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
350084 | MA | HARVARD PILGRIM | |
765787 | TUFTS | ||
Y39202 | MA | BCBS GROUP # | |
Y36454 | MA | BCBS |
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What is the Scotadam Judah Chernov's unique identification number?
The Scotadam Judah Chernov has been assigned the NPI (National Provider Identifier) Number 1801908314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Scotadam Judah Chernov is geographically located?
The Scotadam Judah Chernov is physically situated at the following location: 322 Main St, Gloucester, MA, 19303011.
What is Scotadam Judah Chernov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Scotadam Judah Chernov's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801908314 to Scotadam Judah Chernov?
The Centers for Medicare & Medicaid Services assigned the 1801908314 to Scotadam Judah Chernov on 2006-08-31.
When was the information regarding Scotadam Judah Chernov most recently updated?
The details pertaining to the Scotadam Judah Chernov, including its address, specialty, and other relevant information, were last refreshed on 2012-07-06.
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