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
Address 322 Main St, Gloucester, Massachusetts
Phone Number 9782810049
Fax Number 9782821537
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1801908314
Provider Enumeration Date 2006-08-31
Last Updated Date 2012-07-06

Provider Mailing Address Detail

Address 322 Main St
City Gloucester
State Massachusetts (MA)
Post Code 19303011
Phone Number 9782810049
Fax Number 9782821537

Provider's Primary Taxonomy Detail

Speciality Chiropractor
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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FAQs about Scotadam Judah Chernov

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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