Organization
LOGULLO CHIROPRACTIC WELLNESS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LOGULLO D.C. (DIRECTOR)
(302) 378-5441
Entity
Organization
Contact information
Practice address
600 N BROAD ST STE 19, MIDDLETOWN, DE 19709-1032
(302) 378-5441
Mailing address
600 N BROAD ST STE 19, MIDDLETOWN, DE 19709-1032
(302) 378-5441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000415
DE
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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