Provider Demographics
NPI:1073959409
Name:A TOUCH OF HEALTH CHIROPRACTIC BOSTON, LLC
Entity Type:Organization
Organization Name:A TOUCH OF HEALTH CHIROPRACTIC BOSTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ILAN
Authorized Official - Middle Name:SHIMON
Authorized Official - Last Name:AMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:857-277-1328
Mailing Address - Street 1:444 HUMPHREY ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2570
Mailing Address - Country:US
Mailing Address - Phone:781-592-7600
Mailing Address - Fax:781-592-7601
Practice Address - Street 1:61 ENDICOTT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02113-2202
Practice Address - Country:US
Practice Address - Phone:857-277-1328
Practice Address - Fax:781-592-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3023111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty