Organization
AQUATIC THERAPY OF CHINATOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WANG MD (CHIROPRACTOR/OWNER)
(215) 574-9388
Entity
Organization
Contact information
Practice address
933 SPRING ST, PHILADELPHIA, PA 19107-1815
(215) 574-9388
(215) 574-9188
Mailing address
110 VINE ST, APT 1508, PHILADELPHIA, PA 19106-1303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007915L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155333000
KEYSTONE HEALTH PLAN EAST
PA
Enumeration date
06/17/2006
Last updated
08/22/2020
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