Provider Demographics
NPI:1679612956
Name:SERAFIM, EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:SERAFIM
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 1:776 TREE LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2000
Mailing Address - Country:US
Mailing Address - Phone:610-692-5547
Mailing Address - Fax:610-363-6619
Practice Address - Street 1:661 EXTON CMNS
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2446
Practice Address - Country:US
Practice Address - Phone:610-368-5372
Practice Address - Fax:610-524-4184
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007284L111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0723398Medicare ID - Type UnspecifiedMEDICARE