Provider Demographics
NPI:1588846299
Name:GLOGOWSKI, ANDRZEJ (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDRZEJ
Middle Name:
Last Name:GLOGOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ANDREW
Other - Middle Name:
Other - Last Name:GLOGOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:403 W LINCOLN HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2559
Mailing Address - Country:US
Mailing Address - Phone:610-524-6680
Mailing Address - Fax:610-524-6681
Practice Address - Street 1:403 W LINCOLN HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2559
Practice Address - Country:US
Practice Address - Phone:610-524-6680
Practice Address - Fax:610-524-6681
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor