Dr David C Tracy, DC | |
125 Meridian St, East Boston, MA 02128-1954 | |
(617) 561-5151 | |
Not Available |
Full Name | Dr David C Tracy |
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Gender | Male |
Speciality | Chiropractor |
Location | 125 Meridian St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013057926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2565 (Massachusetts) | Primary |
Provider Name | East Boston Chiropractic And Rehabilitation Clinic, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720261399 PECOS PAC ID: 8022278381 Enrollment ID: O20120322000669 |
Mailing Address | Practice Location Address |
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Dr David C Tracy, DC 125 Meridian St, East Boston, MA 02128-1954 Ph: (617) 561-5151 | Dr David C Tracy, DC 125 Meridian St, East Boston, MA 02128-1954 Ph: (617) 561-5151 |
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