Individual
DR. NICHOLAS JOSEPH PANUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1913 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 755-5700
Mailing address
1913 S BROAD ST, PHILADELPHIA, PA 19148-2216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011404
PA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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