Individual
DR. HENRY WILLIAM BULITTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
36 CHESTNUT RD, PAOLI, PA 19301-1565
(610) 644-5880
Mailing address
36 CHESTNUT RD, PAOLI, PA 19301-1565
(610) 644-5880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004497L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR1750850
HIGHMARK GROUP #
PA
Enumeration date
06/28/2006
Last updated
07/09/2007
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