Provider Demographics
NPI:1235297367
Name:CASTERIOTO FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CASTERIOTO FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:CASTERIOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-853-1515
Mailing Address - Street 1:5056 STATE RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4609
Mailing Address - Country:US
Mailing Address - Phone:610-853-1515
Mailing Address - Fax:484-461-7067
Practice Address - Street 1:5056 STATE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4609
Practice Address - Country:US
Practice Address - Phone:610-853-1515
Practice Address - Fax:484-461-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007299L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty