Individual
DR. JONATHAN ANDREW MALUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1335 W TABOR RD, SUITE 304, PHILADELPHIA, PA 19141-3038
(215) 424-1220
(215) 424-1550
Mailing address
1335 W TABOR RD, SUITE 304, PHILADELPHIA, PA 19141-3038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008430
GA
Other
Enumeration date
02/18/2009
Last updated
03/24/2010
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