Individual
MR. THEODORE ZOMBOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LAC
Contact information
Practice address
234 MILL ST, BRISTOL, PA 19007-4809
(215) 692-0155
Mailing address
506 INMAN TER, WILLOW GROVE, PA 19090-3614
(215) 962-0155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
KO000526
PA
Other
Enumeration date
08/05/2013
Last updated
08/06/2013
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