Organization
MOYLAN CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E. MOYLAN D.O. (OWNER)
(267) 324-3461
Entity
Organization
Contact information
Practice address
1301 S 3RD ST, PHILADELPHIA, PA 19147-6008
(267) 324-3461
(267) 324-3464
Mailing address
1301 S 3RD ST, PHILADELPHIA, PA 19147-6008
(267) 324-3461
(267) 324-3464
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC004382L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001277057
—
PA
Enumeration date
06/17/2014
Last updated
06/17/2014
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