MEDICARE: NON SURGICAL SOLUTIONS P C

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	DC002362L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0058127	OTHER	PA	AETNA
2	0472793000	OTHER	PA	IBC

General Provider Information

NPI Number	:	1972790996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NON SURGICAL SOLUTIONS P C

Provider Business Mailing Address
First Line	:	1455 CITY AVE
Second Line	:
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3820
Country	:	US
Telephone Number	:	610-664-5800
Fax Number	:	610-649-4325

Provider Business Practice Location Address
First Line	:	1455 CITY AVE
Second Line	:
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3820
Country	:	US
Telephone Number	:	610-664-5800
Fax Number	:	610-649-9906

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH J CAMMARATA
Credential	:	D.C.
Telephone Number	:	215-378-5925

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	06/22/2010

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Directions to “NON SURGICAL SOLUTIONS P C ” Practice Location

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