Individual provider · NPI-1

Dr. Gene E Dematteo, D.C.

Chiropractor, Nutrition · Beverly, MA

NPI number1023086097
StatusActive
Last updated in NPPESDec 7, 2011

Details

NPI
1023086097
Entity type
Individual (NPI-1)
Name
Dr. Gene E Dematteo
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 8, 2006
Last updated
Dec 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NN1001X Chiropractor, NutritionCH 1698MAYes

Practice location

38 Enon St
Suite 4
Beverly, MA 01915-1139

Phone 978-922-8778

Mailing address

Po Box 61
Beverly, MA 01915-0001

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