Individual
DR. JEFFREY FRANK CAPPUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1635 BRODHEAD RD, MOON TWP, PA 15108-3842
(724) 457-1900
(724) 457-1901
Mailing address
1635 BRODHEAD RD, MOON TWP, PA 15108-3842
(724) 457-1900
(724) 457-1901
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC-003212-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1723250/01
—
PA
Enumeration date
06/16/2005
Last updated
10/01/2009
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