Organization
DISSTON CHIROPRACTIC & REHABILITATION
Active
Other names
Northeast Rehab & Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A. GENOVESI D.C (DOCTOR OF CHIROPRACTOR)
(212) 338-8840
Entity
Organization
Contact information
Practice address
6932 TORRESDALE AVE, PHILADELPHIA, PA 19135-1906
(215) 338-8840
(215) 338-8841
Mailing address
6932 TORRESDALE AVE, PHILADELPHIA, PA 19135-1906
(215) 338-8840
(215) 338-8841
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC007523L
PA
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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