Individual
DR. PAUL BROWN BODHISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
605 S 11TH ST, PHILADELPHIA, PA 19147-1901
(215) 592-0882
Mailing address
605 S 11TH ST, PHILADELPHIA, PA 19147-1901
(215) 592-0882
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC003210L
PA
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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