Healthcare Provider Details
I. General information
NPI: 1457782948
Provider Name (Legal Business Name): ALIGNED MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2013
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
631B SWEDESFORD RD
MALVERN PA
19355-1530
US
IV. Provider business mailing address
631B SWEDESFORD RD
MALVERN PA
19355-1530
US
V. Phone/Fax
- Phone: 610-644-3166
- Fax:
- Phone: 610-644-3166
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC009287 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OS003505L |
| License Number State | PA |
VIII. Authorized Official
Name:
SANTINA
STUTZMAN
Title or Position: OFFICE MANANGER
Credential:
Phone: 610-644-3166