MEDICARE: DR. FRED SYLVESTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC007649L	PA

General Provider Information

NPI Number	:	1437157708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED SYLVESTER DC

Provider Business Mailing Address
First Line	:	1810 SWAMP PIKE
Second Line	:	SUITE 100
City	:	GILBERTSVILLE
State	:	PA
Zip	:	19525-9307
Country	:	US
Telephone Number	:	610-327-3363
Fax Number	:	610-327-9829

Provider Business Practice Location Address
First Line	:	1810 SWAMP PIKE
Second Line	:	SUITE 100
City	:	GILBERTSVILLE
State	:	PA
Zip	:	19525-9307
Country	:	US
Telephone Number	:	610-327-3363
Fax Number	:	610-327-9829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. FRED SYLVESTER DC” Practice Location

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