Organization
BRANDYWINE FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES BROODY D.C. (CEO)
(610) 942-1940
Entity
Organization
Contact information
Practice address
1728 HORSE SHOE PIKE, GLENMOORE, PA 19343-1036
(610) 942-1940
(610) 942-1940
Mailing address
1728 HORSE SHOE PIKE, GLENMOORE, PA 19343-1036
(610) 942-1940
(610) 942-1940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305606000
INDEPENDANCE BC/BS
PA
Enumeration date
08/05/2006
Last updated
01/02/2008
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