Organization
AVENUE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNEMARIE MULDOON D.C. (CHIROPRACTOR)
(215) 338-4132
Entity
Organization
Contact information
Practice address
6233 FRANKFORD AVE, PHILADELPHIA, PA 19135-3404
(215) 338-4132
Mailing address
6233 FRANKFORD AVE, PHILADELPHIA, PA 19135-3404
(215) 338-4132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005012L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000857580
HIGHMARK
PA
01
—
0964085000
PERSONAL CHOICE
PA
01
—
1088197
AETNA HMO
PA
01
—
4572327
AETNA PPO
PA
Enumeration date
05/29/2008
Last updated
05/29/2008
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