Healthcare Provider Details

I. General information

NPI: 1003846437
Provider Name (Legal Business Name): MATTHEW SAVONA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 N MAIN ST SUITE 201
DUBLIN PA
18917-2107
US

IV. Provider business mailing address

179 N MAIN ST PO BOX 265
DUBLIN PA
18917-2107
US

V. Phone/Fax

Practice location:
  • Phone: 215-249-9200
  • Fax: 215-249-3118
Mailing address:
  • Phone: 215-249-9200
  • Fax: 215-249-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC008804
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: