Robert Mirandola, D.C.
Individual provider Active NPI Chiropractor · Newtonville, MA
NPI 1376872069 · NPPES record last updated Dec 9, 2009
Key facts
- NPI
- 1376872069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3249 (MA)
- Practice address
- 46 Austin St
Suite 101
Newtonville, MA 02460-1861 - Phone
- (847) 308-3031
- NPI assigned
- Dec 9, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3249 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allasso Chiropractic | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3249 | MA | Yes |
Addresses
Primary practice location
46 Austin St
Suite 101
Newtonville, MA 02460-1861
Mailing address
46 Austin St
Suite 101
Newtonville, MA 02460-1861
Phone (847) 308-3031
Other providers in Newtonville, MA
- Laura Fuchs Lubin
- Nancy Macias-Smith
- Laura Maglio
- Alison Lisa Malkin
- William McAndrews
- Lauren Montano
- Liane Elizabeth Moses
- Mt Ida Rest Home, Inc.
- Nest Psychiatry PLLC
- Newton Mental Health LLC
All providers in Newtonville, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.