| Seaport Spine Pllc | |
|
212 Northern Ave, Boston, MA 02210-2089 | |
| (617) 519-3607 | |
| Not Available |
| Full Name | Seaport Spine Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 212 Northern Ave, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255962379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Ryan P Hollien |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821333212 PECOS PAC ID: 8921348418 Enrollment ID: I20190320000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Seaport Spine Pllc 11 Bunton St, Milton, MA 02186-5704 Ph: (617) 519-3607 | Seaport Spine Pllc 212 Northern Ave, Boston, MA 02210-2089 Ph: (617) 519-3607 |
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