Provider Demographics
NPI:1629596549
Name:MCCARTHY, JOHN FREDRICK JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FREDRICK
Last Name:MCCARTHY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 FRONT ST
Mailing Address - Street 2:APT 1
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-1618
Mailing Address - Country:US
Mailing Address - Phone:781-974-2443
Mailing Address - Fax:
Practice Address - Street 1:71 HOLLAND ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2733
Practice Address - Country:US
Practice Address - Phone:617-625-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor