| NPI | 1710279831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANTHONY CONICELLO President 484-593-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009298) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2011-08-01 |