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Organization

DIAMOND STATE CHIROPRACTIC PA

Active
Other names
Diamond State Chiropractic PA
Organization subpart
No

Provider details

NPI number
Authorized official
TODD H BOGOS DC (OWNER)
(302) 777-5551
Entity
Organization

Contact information

Practice address
1101 TWIN C LN STE 201, NEWARK, DE 19713-2159
(302) 892-9355
(302) 892-3494
Mailing address
1101 TWIN C LN STE 201, NEWARK, DE 19713-2159
(302) 892-9355
(302) 892-3494

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
207Q00000X
Family Medicine Physician
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
06/18/2006
Last updated
06/25/2025
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