Organization
ASSOCIATES CHIROPRACTIC CLINIC & REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY T. HIERONIMUS D.C. (DIRECTOR)
(412) 279-4522
Entity
Organization
Contact information
Practice address
2275 SWALLOW HILL RD, BUILDING 2600, PITTSBURGH, PA 15220-1656
(412) 279-4522
(412) 279-3416
Mailing address
2275 SWALLOW HILL RD, BUILDING 2600, PITTSBURGH, PA 15220-1656
(412) 279-4522
(412) 279-3416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032360
MEDICARE GROUP NUMBER
PA
01
—
1404943
BS GROUP #
PA
Enumeration date
08/31/2005
Last updated
11/03/2007
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