Individual provider · Type 1 NPI

Russell David Broccoli, DC

Chiropractor · Providence, RI

NPI number 1689740607 Active

Practice location

635 Hope Street
Providence, RI 02906

Call (401) 351-6390 Map

Fax (401) 331-0614

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDCP00204 (RI)

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 1689740607

Russell David Broccoli, DC's National Provider Identifier is 1689740607, issued on Nov 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.