Organization
REN-NIC CHIROPRACTIC LLC
Active
Other names
family chiropractic & wellness center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A FAUSTINO D.C. (PRESIDENT)
(215) 508-4636
Entity
Organization
Contact information
Practice address
4384 MANAYUNK AVE, SUITE 1, PHILADELPHIA, PA 19128-4831
(215) 508-4636
(215) 508-5492
Mailing address
4384 MANAYUNK AVE, SUITE 1, PHILADELPHIA, PA 19128-4831
(215) 508-4636
(215) 508-5492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003572-L
PA
Other
Enumeration date
05/17/2007
Last updated
09/14/2010
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