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Organization
SPECTRUM WELLNESS LLC
Active
Organization
SPECTRUM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M. GOLDMAN D.C. (CHIROPRACTIC DOCTOR)
(215) 938-8500
Entity
Organization
Contact information
Practice address
2321 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-6109
(215) 938-8500
(251) 938-8586
Mailing address
2321 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-6109
(215) 938-8500
(251) 938-8586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005180L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043800
CIGNA
—
01
—
1818597
HIGHMARK BLUE SHIELD
—
01
—
2674216000
INDEPENDENCE BLUE CROSS
—
Enumeration date
09/27/2006
Last updated
04/16/2008
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