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Organization
SOUTHAMPTON CHIROPRACTIC & WELLNESS CENTER, PC
Active
Organization
SOUTHAMPTON CHIROPRACTIC & WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER A FIORDALISO DC (OWNER)
(215) 942-7990
Entity
Organization
Contact information
Practice address
454 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3814
(215) 942-7990
Mailing address
454 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3814
(215) 942-7990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006513L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0857457
AETNA
PA
01
—
0872754000
INDEPENDENCE BLUE CROSS
PA
01
—
919212
HIGHMARK
PA
01
—
P913224
OXFORD
—
Enumeration date
09/08/2008
Last updated
09/08/2008
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