Individual ProviderSudeep ChawlaChiropractorChiropractic ProvidersPractice Address435 Newbury St Ste 208, Danvers, MA 01923-1065(617) 334-5002(517) 420-2435PECOS EnrollmentBased on the most recent information from CMS, provider Sudeep Chawla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689926214Provider TypeIndividualFull NameChawla, SudeepTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date10/5/2012Last Updated5/2/2022Contact InformationPractice LocationPractice Address435 Newbury St Ste 208, Danvers, MA 01923-1065Phone(617) 334-5002Fax(978) 208-0494Mailing LocationMailing Address125 Palomino Dr, North Andover, MA 01845-3379Phone(517) 420-2435Fax(978) 208-0494Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3585MassachusettsCode111N00000XDescriptionChiropractorChiropractic ProvidersLicenseCH-10718Florida