Healthcare Provider Details

I. General information

NPI: 1992459887
Provider Name (Legal Business Name): HAVERFORD COMPREHENSIVE WELLNESS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7592 HAVERFORD AVE
PHILADELPHIA PA
19151-2113
US

IV. Provider business mailing address

PO BOX 1701
SOUTHAMPTON PA
18966-0814
US

V. Phone/Fax

Practice location:
  • Phone: 215-879-4422
  • Fax:
Mailing address:
  • Phone: 215-879-4422
  • Fax: 215-879-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: BRIAN M DELFINER
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 215-879-4422