| Dr Samuel Sisto-lopez, DC | |
|
102 Charles St, Boston, MA 02114-4607 | |
| (617) 720-1992 | |
| Not Available |
| Full Name | Dr Samuel Sisto-lopez |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 5 Years |
| Location | 102 Charles St, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467083097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3678 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hosmer Chiropractic Health Llc | 6507025228 | 9 |
| Provider Name | Dyson Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508037045 PECOS PAC ID: 2668550906 Enrollment ID: O20080428000062 |
| Provider Name | Hosmer Chiropractic Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225316128 PECOS PAC ID: 6507025228 Enrollment ID: O20120315000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Sisto-lopez, DC 102 Charles St, Boston, MA 02114-4607 Ph: (617) 720-1992 | Dr Samuel Sisto-lopez, DC 102 Charles St, Boston, MA 02114-4607 Ph: (617) 720-1992 |
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