Provider Demographics
NPI:1912117243
Name:ABACUS HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:ABACUS HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOKARZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-542-6878
Mailing Address - Street 1:10 MILK ST
Mailing Address - Street 2:SUITE #407
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4600
Mailing Address - Country:US
Mailing Address - Phone:617-543-6878
Mailing Address - Fax:617-542-6876
Practice Address - Street 1:10 MILK ST
Practice Address - Street 2:SUITE #407
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4600
Practice Address - Country:US
Practice Address - Phone:617-543-6878
Practice Address - Fax:617-542-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH 1842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39944OtherBCBS OF MA
MAY36349OtherBCBS OF MA
MAY36349OtherBCBS OF MA