Individual provider · Type 1 NPI

Andre P. Boulogne, DC

Chiropractor · Brighton, MA

NPI number 1225175458 Active

Practice location

167 Corey Road
Brighton, MA 02135

Fax (617) 731-3945

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1878 (MA)

Chiropractor: 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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About NPI 1225175458

Andre P. Boulogne, DC's National Provider Identifier is 1225175458, issued on Jan 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brighton, MA. The record was last updated on Jul 8, 2007.