Benjamin Thomas Andrulot in South Yarmouth - Sports Physician

Benjamin Thomas Andrulot - NPI 1245201649

Benjamin Thomas Andrulot is a Sports Physician in South Yarmouth, Massachusetts. Benjamin Thomas Andrulot practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Benjamin Thomas Andrulot is 1245201649. The last update date is 2007-07-08.

Benjamin Thomas Andrulot's current location address is 40 Blue Rock Rd, South Yarmouth, Massachusetts. You can contact this provider via phone number 5082407600 and fax number 5082407686. The mailing address for Benjamin Thomas Andrulot is 40 Blue Rock Rd, South Yarmouth, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin Thomas Andrulot
Address 40 Blue Rock Rd, South Yarmouth, Massachusetts
Phone Number 5082407600
Fax Number 5082407686
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1245201649
Provider Enumeration Date 2006-02-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 40 Blue Rock Rd
City South Yarmouth
State Massachusetts (MA)
Post Code 26641333
Phone Number 5082407600
Fax Number 5082407686

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 2879
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1600541 MA MASSHEALTH
7335964 MA AETNA HEALTHCARE
1660669 MA CIGNA HEALTHCARE
Y37048 MA BCBS OF MA
AA80633 MA HARVARD PILGRIM HEALTH

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FAQs about Benjamin Thomas Andrulot

What is the Benjamin Thomas Andrulot's unique identification number?

The Benjamin Thomas Andrulot has been assigned the NPI (National Provider Identifier) Number 1245201649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Benjamin Thomas Andrulot?

The Benjamin Thomas Andrulot is situated at 40 Blue Rock Rd, in the city of South Yarmouth, state of MA, with the zip code 26641333.

What is Benjamin Thomas Andrulot's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Benjamin Thomas Andrulot is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.

When did the Benjamin Thomas Andrulot receive its 1245201649?

The Benjamin Thomas Andrulot was issued its 1245201649 on 2006-02-01, which is the date when the organization was assigned this unique identifier.

When was the information regarding Benjamin Thomas Andrulot, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Benjamin Thomas Andrulot, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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