| NPI | 1457514853 |
|---|---|
| Doing Business As | COMMUNITY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JAY PROVENZANO President 617-689-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2886) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2010-06-09 |