Provider Demographics
NPI:1205178704
Name:DENARO, ABBEY (DC)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:DENARO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PARK ST
Mailing Address - Street 2:STE 106
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2162
Mailing Address - Country:US
Mailing Address - Phone:978-664-1500
Mailing Address - Fax:978-664-1258
Practice Address - Street 1:350 PARK ST
Practice Address - Street 2:STE 106
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2162
Practice Address - Country:US
Practice Address - Phone:978-664-1500
Practice Address - Fax:978-207-1474
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor