Organization
BRIDESBURG SPINE AND INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY P CALANTONI DC (OWNER CHIROPRACTOR)
(215) 743-5330
Entity
Organization
Contact information
Practice address
2644 LEFEVRE ST, PHILADELPHIA, PA 19137-1733
(215) 743-5330
(215) 941-6441
Mailing address
2644 LEFEVRE ST, PHILADELPHIA, PA 19137-1733
(215) 743-5330
(215) 941-6441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009115
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117559
INDIVIDUAL MC ID
PA
Enumeration date
08/01/2014
Last updated
08/01/2014
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