Healthcare Provider Details

I. General information

NPI: 1013179043
Provider Name (Legal Business Name): ROBERT E MONK III & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

842 DURHAM RD STE 6
NEWTOWN PA
18940-9680
US

IV. Provider business mailing address

842 DURHAM RD STE 6
NEWTOWN PA
18940-9680
US

V. Phone/Fax

Practice location:
  • Phone: 215-598-7103
  • Fax: 215-598-8260
Mailing address:
  • Phone: 215-598-7103
  • Fax: 215-598-8260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberPADC0029491
License Number StatePA

VIII. Authorized Official

Name: DR. ROBERT E MONK III
Title or Position: OWNER
Credential: DC
Phone: 215-598-7103