Provider Demographics
NPI:1093428591
Name:DELCOLLO ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:DELCOLLO ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELCOLLO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:484-888-3326
Mailing Address - Street 1:159 TROTTERS LEA LN
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-8912
Mailing Address - Country:US
Mailing Address - Phone:484-888-3326
Mailing Address - Fax:
Practice Address - Street 1:842 E STREET RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-8545
Practice Address - Country:US
Practice Address - Phone:484-888-3326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service