Individual
DR. AHMAD ADIL ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4607 N BROAD ST, PHILADELPHIA, PA 19140-1217
(215) 329-6136
Mailing address
13109 BUSTLETON AVE, APT C-20, PHILADELPHIA, PA 19116-1647
(248) 703-3342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009719
PA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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