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Dr. Scotadam Judah Chernov, DC
Chiropractor in Gloucester, Massachusetts
NPI 1801908314

Scotadam Judah Chernov is a Chiropractor based in Gloucester, MA. Scotadam Judah Chernov practices in Gloucester, MA and has the professional credentials of DC. The NPI Number for Scotadam Judah Chernov is 1801908314 and holds a License No. 2075 (Massachusetts).

The current practice location address for Scotadam Judah Chernov is 322 Main St, Gloucester, MA and can be reached out via phone at 978-281-0049 and via fax at 978-282-1537.

Location: 322 Main St, Gloucester, MA, 01930-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801908314
Provider Name
Scotadam Judah Chernov
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
322 Main St, Gloucester, MA, 01930-3011
Phone Number
978-281-0049
Fax Number
978-282-1537
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350084 01 MA HARVARD PILGRIM
765787 01 TUFTS
Y39202 01 MA BCBS GROUP #
Y36454 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
322 Main St
City
Gloucester
State
Massachusetts
Zip
01930-3011
Phone Number
978-281-0049
Fax Number
978-282-1537
person
Provider Business Mailing Address Details
Address
322 Main St
City
Gloucester
State
Massachusetts
Zip
01930-3011
Phone Number
978-281-0049
Fax Number
978-282-1537
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2075 (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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