Provider Demographics
NPI:1760668511
Name:DEMBROWSKI, GERALD CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:CHARLES
Last Name:DEMBROWSKI
Suffix:
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 1:21 CUMMINGS PARK STE 208B
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2183
Mailing Address - Country:US
Mailing Address - Phone:339-227-3406
Mailing Address - Fax:
Practice Address - Street 1:21 CUMMINGS PARK STE 208B
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2183
Practice Address - Country:US
Practice Address - Phone:339-227-3406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2258111N00000X
CADC29759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor