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Individual

DR. GARY WATSON RENDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
136 ANTHONY WAYNE DR, WAYNE, PA 19087-1428
(610) 964-0608
(610) 964-2745
Mailing address
136 ANTHONY WAYNE DR, WAYNE, PA 19087-1428
(610) 964-0608
(610) 964-2745

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002016L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000124594
HIGHMARK BLUE SHIELD
PA
01
0032882000
INDEPENDENT BLUE CROSS
PA
Enumeration date
08/28/2006
Last updated
12/28/2016
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