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Organization

PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY J. CHAPIS MD (AUTHORIZED OFFICIAL)
(610) 970-4700
Entity
Organization

Contact information

Practice address
1603 E HIGH ST, SUITE C, POTTSTOWN, PA 19464-5061
(610) 970-4700
(610) 970-5635
Mailing address
1603 E HIGH ST, SUITE C, POTTSTOWN, PA 19464-5061
(610) 970-4700
(610) 970-5635

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PA
2081P0004X
Spinal Cord Injury Medicine Physician
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
PA
225100000X
Physical Therapist
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001720015-0002
PA
05
001720015-0004
PA
Enumeration date
06/18/2006
Last updated
09/23/2011
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