Provider Demographics
NPI:1770625006
Name:BARONE, JOSEPH TYLER (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TYLER
Last Name:BARONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CHAMPY LANE
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844
Mailing Address - Country:US
Mailing Address - Phone:508-481-1855
Mailing Address - Fax:508-481-1840
Practice Address - Street 1:100 GRANGER BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-481-1855
Practice Address - Fax:508-481-1840
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor