Healthcare Provider Details

I. General information

NPI: 1891998266
Provider Name (Legal Business Name): NEW TRIPOLI WHOLE HEALTH P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 ROUTE 309
NEW TRIPOLI PA
18066-3822
US

IV. Provider business mailing address

6505 ROUTE 309
NEW TRIPOLI PA
18066-3822
US

V. Phone/Fax

Practice location:
  • Phone: 610-298-8029
  • Fax: 610-298-8029
Mailing address:
  • Phone: 610-298-8029
  • Fax: 610-298-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009711
License Number StatePA

VIII. Authorized Official

Name: CHRISTOPHER MARZANO
Title or Position: DOCTOR OF CHIROPRACTIC
Credential:
Phone: 610-298-8029