Individual
DR. CHARLES VENEZIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 PAWLINGS RD, AUDUBON, PA 19403-2265
(610) 650-7717
Mailing address
1104 PAWLINGS RD, AUDUBON, PA 19403-2265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004462L
PA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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