Healthcare Provider Details

I. General information

NPI: 1861448359
Provider Name (Legal Business Name): ASTON CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 03/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5029 PENNELL RD
ASTON PA
19014-1869
US

IV. Provider business mailing address

5029 PENNELL RD
ASTON PA
19014-1869
US

V. Phone/Fax

Practice location:
  • Phone: 610-497-1928
  • Fax: 610-497-6755
Mailing address:
  • Phone: 610-497-1928
  • Fax: 610-497-6755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC004946-L
License Number StatePA

VIII. Authorized Official

Name: DR. FRANCIS VERNON GRANDIZIO JR.
Title or Position: OWNER
Credential: D.C,
Phone: 610-497-1928