Phillip Messineo, DC | |
777 Concord Ave Ste 301, Cambridge, MA 02138-1053 | |
(646) 842-1707 | |
Not Available |
Full Name | Phillip Messineo |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 777 Concord Ave Ste 301, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407633217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHI3834 (Massachusetts) | Primary |
Provider Name | Lydian Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467891762 PECOS PAC ID: 0244464303 Enrollment ID: O20131004000134 |
Mailing Address | Practice Location Address |
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Phillip Messineo, DC 777 Concord Ave Ste 301, Cambridge, MA 02138-1053 Ph: (646) 842-1707 | Phillip Messineo, DC 777 Concord Ave Ste 301, Cambridge, MA 02138-1053 Ph: (646) 842-1707 |
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