Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2895 | MA |
NPI | 1003147331 |
---|---|
Provider Name | Dr. Evan M Hughes |
First Address | Boxborough, MA 01719 |
Second Address | Boxborough, MA 01719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2010 |
Last Update Date | 22/05/2017 |