Provider Demographics
NPI:1942387667
Name:JEFFRY W. WALDROP, P.C.
Entity Type:Organization
Organization Name:JEFFRY W. WALDROP, P.C.
Other - Org Name:MIDDLESEX CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-272-3334
Mailing Address - Street 1:83 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-4181
Mailing Address - Country:US
Mailing Address - Phone:781-272-3334
Mailing Address - Fax:
Practice Address - Street 1:83 CAMBRIDGE ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4181
Practice Address - Country:US
Practice Address - Phone:781-272-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2521111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39830OtherBCBS OF MA GROUP ID#
MAY39830OtherBCBS OF MA GROUP ID#