Individual
DR. BRETT DAVID CARDONICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23 E DURHAM ST, PHILADELPHIA, PA 19119-1821
(215) 242-8632
(215) 242-4226
Mailing address
23 E DURHAM ST, PHILADELPHIA, PA 19119-1821
(215) 242-8632
(215) 242-4226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0237787000
PERSONAL CHOICE PROVIDER
PA
Enumeration date
05/22/2006
Last updated
07/08/2007
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