Individual provider · Type 1 NPI
Peter Joseph Connelly, DC
Chiropractor · Philadelphia, PA
NPI number
1124066915
Active
Practice location
5942 Haverford Ave
Philadelphia, PA 19151-4333
Fax (215) 474-9983
Mailing address
2401 Berwyn Ct
Voorhees, NJ 08043-4671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC008818L (PA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1124066915
Peter Joseph Connelly, DC's National Provider Identifier is 1124066915, issued on Jun 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 9, 2007.