| NPI | 1023469996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY S BLASCO Member 215-538-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: PA DC004472L) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |