Organization
HAVERTOWN WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GRIGATIS (OWNER)
(610) 449-9838
Entity
Organization
Contact information
Practice address
34 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
(610) 449-9838
Mailing address
34 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
(610) 449-9838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HIGHMARK
1376742
PA
01
—
IBC
2068450000
PA
Enumeration date
08/03/2006
Last updated
08/22/2020
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