Organization
NICHOLAS J GRESOCK DC PC
Active
Organization
NICHOLAS J GRESOCK DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J GRESOCK D.C. (OWNER)
(412) 856-1100
Entity
Organization
Contact information
Practice address
4039 MONROEVILLE BLVD, SUITE A, MONROEVILLE, PA 15146-2505
(412) 856-1100
(412) 856-0864
Mailing address
4039 MONROEVILLE BLVD, SUITE A, MONROEVILLE, PA 15146-2505
(412) 856-1100
(412) 856-0864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598414
HIGHMARK
PA
Enumeration date
07/22/2006
Last updated
12/03/2012
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