Individual
DR. JONATHAN MCCULLOUGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC,EMT
Contact information
Practice address
35 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 946-0444
(215) 946-0448
Mailing address
35 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 946-0444
(215) 946-0448
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC-002206-L
PA
Other
Enumeration date
09/07/2005
Last updated
11/19/2007
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