Physician Compare National (NPI:1295170405)

HEALTHCARE PROVIDER: PAUL ROSCIOLI D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1295170405
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709020662
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130913000568
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSCIOLI
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	JOSEPH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	510 DARBY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3A
	Group Practice or individual's line 2 address
City	HAVERTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190834630
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y