Individual
JON PANUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
15 INDUSTRIAL BLVD, SUITE 202, PAOLI, PA 19301-1608
(610) 644-3166
Mailing address
931 CLINTON ST, SUITE 106, PHILADELPHIA, PA 19107-6110
(518) 330-2744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010285
PA
Other
Enumeration date
10/15/2009
Last updated
07/09/2010
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