Organization
LYCEUM CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J PEZZELLO DC (PRESIDENT)
(215) 508-5555
Entity
Organization
Contact information
Practice address
445 LYCEUM AVE, PHILADELPHIA, PA 19128-3420
(215) 508-5555
Mailing address
445 LYCEUM AVE, PHILADELPHIA, PA 19128-3420
(215) 508-5555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008325
PA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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