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Dr. Roberta Ann Stack, DC
Chiropractor in Waltham, Massachusetts
NPI 1588711766

Roberta Ann Stack is a Chiropractor based in Waltham, MA. Roberta Ann Stack practices in Waltham, MA and has the professional credentials of DC. The NPI Number for Roberta Ann Stack is 1588711766 and holds a License No. CH 706 (Massachusetts).

The current practice location address for Roberta Ann Stack is 42 Weston St, Waltham, MA and can be reached out via phone at 781-891-1722.

Location: 42 Weston St, Waltham, MA, 02453-7756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588711766
Provider Name
Roberta Ann Stack
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
42 Weston St, Waltham, MA, 02453-7756
Phone Number
781-891-1722
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y35525 01 MA BCBSMA
institution
Provider Business Practice Location Address Details
Address
42 Weston St
City
Waltham
State
Massachusetts
Zip
02453-7756
Phone Number
781-891-1722
Fax Number
person
Provider Business Mailing Address Details
Address
42 Weston St
City
Waltham
State
Massachusetts
Zip
02453-7756
Phone Number
781-891-1722
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH 706 (Massachusetts)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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