Organization
CONCORDIA CENTER OF CLINICAL CHIROPRACTIC &REHABILITATION LLC
Active
Other names
Concordia Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ITZHAK KAGANOVICH D.C. (OWNER)
(215) 280-8229
Entity
Organization
Contact information
Practice address
8400 BUSTLETON AVE, PHILADELPHIA, PA 19152-1918
(215) 280-8229
Mailing address
346 BASSWOOD CIR, FEASTERVILLE TREVOSE, PA 19053-7217
(215) 280-8229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010142
PA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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