MEDICARE: HAVERFORD COMPREHENSIVE WELLNESS, 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

General Provider Information

NPI Number	:	1992459887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVERFORD COMPREHENSIVE WELLNESS, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 1701
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-0814
Country	:	US
Telephone Number	:	215-879-4422
Fax Number	:	215-879-4433

Provider Business Practice Location Address
First Line	:	7592 HAVERFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2113
Country	:	US
Telephone Number	:	215-879-4422
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	BRIAN M DELFINER
Credential	:	DC
Telephone Number	:	215-879-4422

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	08/19/2022

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