Organization
JONATHAN W. MCCULLOUGH, DCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W MCCULLOUGH D.C. (PRESIDENT)
(215) 946-0444
Entity
Organization
Contact information
Practice address
35 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 946-0444
(215) 946-0448
Mailing address
35 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 946-0444
(215) 946-0448
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
DC2206P
PA
Other
Enumeration date
03/21/2007
Last updated
04/20/2008
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