American Medical Group

NPI #1649540196 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1649540196
Entity Type: Organization
Organization Name: American Medical Group
Primary Specialty: Chiropractor
Enumeration Date: Dec 30, 2011
Last Updated: Dec 30, 2011

Practice Location

Address: 408 S HUNTINGTON AVE
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-4814
Phone: (617) 202-9225

Authorized Official

Name: DR. MARK KEVIN LIQUE, MD
Title: ASSOCIATE
Phone: (617) 202-9225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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