Provider Demographics
NPI:1326094814
Name:GIAMPA, FREDERICK THOMAS (DC)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:THOMAS
Last Name:GIAMPA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:FREDERICK GIAMPA
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067
Mailing Address - Country:US
Mailing Address - Phone:617-413-7973
Mailing Address - Fax:781-784-5329
Practice Address - Street 1:935 WASHINGTON ST
Practice Address - Street 2:BACK AND NECK TRM CTR INC
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-551-8283
Practice Address - Fax:781-551-8292
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U24296Medicare UPIN
MAY36011Medicare ID - Type Unspecified