Provider Detail for 1477734135
CARB CC TWO LLC
Mailing Address:
267 BROOKLYN STREET
SUITE A
CARBONDALE, PA 18407-2829
Phone: 570-282-1240
Fax: 570-282-7937
Physical Address:
267 BROOKLYN STREET
SUITE A
CARBONDALE, PA 18407-2829
Phone: 570-282-1240
Fax: 570-282-7937
Authorized Official:
JOSEPH MERLI
PRESIDENT
570-282-1240
Taxonomy
Chiropractic Providers/Chiropractor
(Primary Specialty)
State: PA License: DC004100L
Last Update: 01/12/2022
Provider Enrollment, Chain and Ownership System (PECOS)
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