MEDICARE: NEW CENTURY CHIROPRACTIC, LLC

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	DC009641	PA

General Provider Information

NPI Number	:	1770703456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CENTURY CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 499
Second Line	:
City	:	RICHBORO
State	:	PA
Zip	:	18954-0499
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7592 HAVERFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2113
Country	:	US
Telephone Number	:	215-879-4422
Fax Number	:	215-879-4433

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CAROLINE BARRY
Credential	:	D.C.
Telephone Number	:	215-879-4422

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/22/2020

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