Organization
MARIO A. GRIPPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO A GRIPPA D.C. (CHIROPRACTOR)
(724) 775-1002
Entity
Organization
Contact information
Practice address
373 VIRGINIA AVENUE, ROCHESTER, PA 15074
(724) 775-1002
(724) 775-2527
Mailing address
373 VIRGINIA AVENUE, ROCHESTER, PA 15074
(724) 775-1002
(724) 775-2527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004847L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012780270002
—
PA
01
—
1010014
GATEWAY
PA
01
—
3087535
AETMA HMO
PA
01
—
5356108
AETNA PPO
PA
01
—
664633
UNITED HEALTHCARE
—
01
—
9983002
CIGNA
PA
Enumeration date
12/06/2006
Last updated
08/22/2020
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