Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC007178L | PA |
NPI | 1275507329 |
---|---|
Provider Name | Dr. Cristino M. Morrone |
First Address | South Williamsport, PA 17702-7366 |
Second Address | South Williamsport, PA 17702-7223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 20/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2497405 | AETNA (01) | PA |
540197 | BLUE CROSS/ BLUE SHIELD (01) | PA |
800544 | FIRST PRIORITY HEALTH (01) | PA |
U68695 | (02) | PA |