Individual provider · Type 1 NPI
Peter Allen Bogart, DC
Chiropractor · Waltham, MA
NPI number
1306827779
Active
Practice location
6 Bow St
Waltham, MA 02452-4807
Fax (781) 647-7940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 671 (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 1306827779
Peter Allen Bogart, DC's National Provider Identifier is 1306827779, issued on Nov 10, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Waltham, MA. The record was last updated on Jan 15, 2010.