Individual
DR. BENJAMIN C DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
413 HIGH ST, WATERFORD, PA 16441-8301
(315) 651-6387
Mailing address
PO BOX 1111, WATERFORD, PA 16441-1111
(315) 651-6387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010056
PA
Other
Enumeration date
06/10/2008
Last updated
04/12/2010
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