Healthcare Provider Details

I. General information

NPI: 1083734859
Provider Name (Legal Business Name): GEORGE P. ZABRECKY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 E LANCASTER AVE STE 230
VILLANOVA PA
19085-1527
US

IV. Provider business mailing address

789 E LANCASTER AVE STE 230
VILLANOVA PA
19085-1527
US

V. Phone/Fax

Practice location:
  • Phone: 610-616-2500
  • Fax: 610-616-2500
Mailing address:
  • Phone: 610-616-2500
  • Fax: 610-616-2525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number000196
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: