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Individual

DR. MICHAEL ANTHONY PASCAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
555 SECOND AVE, SUITE D-202, COLLEGEVILLE, PA 19426-3600
(610) 454-9825
Mailing address
41 RUTH AVE, PHOENIXVILLE, PA 19460-1917

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007845L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0804114000
IBC
PA
01
1041595
CIGNA
PA
01
2458557
AETNA
PA
Enumeration date
06/07/2006
Last updated
08/19/2015
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