Philadelphia Spine and Wellness Cntr.

NPI #1073749123 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1073749123
Entity Type: Organization
Organization Name: Philadelphia Spine and Wellness Cntr.
Primary Specialty: Chiropractor
Enumeration Date: Jun 3, 2009
Last Updated: Jun 3, 2009

Practice Location

Address: 100 SOUTH BROAD STREET
Address 2: SUITE 1800 B
City: Philadelphia
State: Pennsylvania
ZIP Code: 19110
Phone: (215) 988-9503

Authorized Official

Name: MICHAEL JOSEPH POLINO, DC
Title: CEO/CHIROPRACTOR
Phone: (215) 988-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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