Roger E Mercaldi III, D.C.

Individual provider Active NPI Chiropractor · Manchester, MA

NPI 1548314891 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1548314891
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2197 (MA)
Practice address
40 Union St
Manchester, MA 01944-1553
Phone
(978) 526-8400
Fax
(978) 526-8411
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2197MAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2197 MA Yes

Addresses

Primary practice location

40 Union St
Manchester, MA 01944-1553

Mailing address

40 Union St
Manchester, MA 01944-1553
Phone (978) 526-8400

Other identifiers

IdentifierTypeStateIssuer
Y36648OtherMABLUE CROSS BLUE SHIELD
AA69506OtherMAHARVARD PILGRIM, UNITED
P00206803OtherMARAILROAD MEDICARE

Other providers in Manchester, MA

All providers in Manchester, MA · Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.