MEDICARE: MAROTTA CHIROPRACTIC & MASSAGE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC005991L	PA

General Provider Information

NPI Number	:	1194997577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAROTTA CHIROPRACTIC & MASSAGE CLINIC

Provider Business Mailing Address
First Line	:	400 RODI RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4519
Country	:	US
Telephone Number	:	412-241-4530
Fax Number	:	412-241-4535

Provider Business Practice Location Address
First Line	:	400 RODI RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4519
Country	:	US
Telephone Number	:	412-241-4530
Fax Number	:	412-241-4535

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC MAROTTA
Credential	:	D.C.
Telephone Number	:	412-241-4530

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	03/26/2008

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