Provider Demographics
NPI:1518105295
Name:GAROFALO, JOHN MICHAEL (DC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MICHAEL
Last Name:GAROFALO
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:5303 FRANKFORD AVE
Mailing Address - Street 2:TRANSPLEX CENTER FOR MEDICINE AND REHABILITATION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-1217
Mailing Address - Country:US
Mailing Address - Phone:215-831-8100
Mailing Address - Fax:215-831-9515
Practice Address - Street 1:5303 FRANKFORD AVE
Practice Address - Street 2:TRANSPLEX CENTER FOR MEDICINE AND REHABILITATION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1217
Practice Address - Country:US
Practice Address - Phone:215-831-8100
Practice Address - Fax:215-831-9515
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADC-006862-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor