Bridgewood Family Chiropractic, PC
Organization Active NPI Chiropractor · Dracut, MA
NPI 1326189366 · NPPES record last updated Dec 30, 2015
Key facts
- NPI
- 1326189366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1761 (MA)
- Legal business name
- BRIDGEWOOD FAMILY CHIROPRACTIC, PC
- Practice address
- 1794 Bridge St
Unit # 23
Dracut, MA 01826-2673 - Phone
- (978) 937-5547
- Fax
- (978) 937-1155
- NPI assigned
- Feb 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Abdallah G Maalouf, DC
- Title
- Chiropractor
- Phone
- (978) 937-5547
Practitioners 1
-
Abdallah Maalouf, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120109000835 | MA | Part B Supplier - Clinic/Group Practice | 0749456044 |
Receives reassigned benefits from 1 practitioner Practice locations: Dracut, MA |
National Provider Directory
Locations
1794 Bridge St
Ste 23
Dracut, MA 01826
Phone (978) 937-5547
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1761 | MA | Yes |
Addresses
Primary practice location
1794 Bridge St
Unit # 23
Dracut, MA 01826-2673
Mailing address
1794 Bridge St
Unit # 23
Dracut, MA 01826-2673
Phone (978) 937-5547
Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.