Organization
PENN SPINE & PERFORMANCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRZEJ GLOGOWSKI D.C. (CHIROPRACTOR)
(610) 524-6680
Entity
Organization
Contact information
Practice address
403 W LINCOLN HWY, EXTON, PA 19341-2559
(610) 524-6680
(610) 524-6681
Mailing address
403 W LINCOLN HWY, SUITE 108, EXTON, PA 19341-2559
(610) 524-6680
(610) 524-6681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009869
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC009869
CHIROPRACTIC LICENSE
PA
Enumeration date
01/22/2008
Last updated
09/24/2010
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