MEDICARE: NEWTON FAMILY CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1578259560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWTON FAMILY CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2653 SUMMIT AVE
Second Line	:
City	:	BROOMALL
State	:	PA
Zip	:	19008-1922
Country	:	US
Telephone Number	:	610-999-2172
Fax Number	:

Provider Business Practice Location Address
First Line	:	4885 W CHESTER PIKE STE 119
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2213
Country	:	US
Telephone Number	:	610-999-2172
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK NEWTON
Credential	:	DC
Telephone Number	:	610-999-2172

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	10/12/2023

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