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Organization
JOINT REGENERATION OF PENNSYLVANIA LLC
Active
Organization
JOINT REGENERATION OF PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIRSTEIN (CLINIC DIRECTOR)
(856) 912-4811
Entity
Organization
Contact information
Practice address
9 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1003
(856) 912-4811
Mailing address
9 PRESIDENTIAL BLVD UNIT 103, BALA CYNWYD, PA 19004-1025
(610) 934-4100
(215) 397-4619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
07/08/2022
Last updated
12/04/2024
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