Organization
CASTOR PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RALIC (OFFICER)
(215) 535-5616
Entity
Organization
Contact information
Practice address
6044 CASTOR AVE, SUITE 101, PHILADELPHIA, PA 19149-3205
(215) 535-5616
(215) 535-5618
Mailing address
6044 CASTOR AVE, SUITE 101, PHILADELPHIA, PA 19149-3205
(215) 535-5616
(215) 535-5618
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC009718
PA
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
12/16/2009
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