Provider Demographics
NPI:1326822610
Name:CAVOSI, SINJIN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:SINJIN
Middle Name:JOSEPH
Last Name:CAVOSI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 LENTZ RD
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-4436
Mailing Address - Country:US
Mailing Address - Phone:484-866-0899
Mailing Address - Fax:
Practice Address - Street 1:6505 ROUTE 309
Practice Address - Street 2:
Practice Address - City:NEW TRIPOLI
Practice Address - State:PA
Practice Address - Zip Code:18066-3822
Practice Address - Country:US
Practice Address - Phone:610-298-8029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor