Organization
PHILADELPHIA SPINE AND WELLNESS CNTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH POLINO DC (CEO/CHIROPRACTOR)
(215) 988-9503
Entity
Organization
Contact information
Practice address
100 SOUTH BROAD STREET, SUITE 1800 B, PHILADELPHIA, PA 19110
(215) 988-9503
(215) 988-9533
Mailing address
100 SOUTH BROAD STREET, SUITE 1800 B, PHILADELPHIA, PA 19110
(215) 988-9503
(215) 988-9533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005975-L
PA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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