Organization
MOMENTA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILAN GREEN DC (MANAGING MEMBER/CHIROPRACTOR)
(610) 808-9960
Entity
Organization
Contact information
Practice address
827 W LANCASTER AVE FL 2, BRYN MAWR, PA 19010-3436
(610) 808-9960
(610) 808-9960
Mailing address
827 W LANCASTER AVE FL 2, BRYN MAWR, PA 19010-3436
(610) 808-9960
(610) 808-9960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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