Provider Demographics
NPI:1790167211
Name:DALONZO, CHRISTINE MARY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARY
Last Name:DALONZO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 LONGVIEW LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1041
Mailing Address - Country:US
Mailing Address - Phone:843-907-3594
Mailing Address - Fax:
Practice Address - Street 1:327 N MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4421
Practice Address - Country:US
Practice Address - Phone:610-565-8823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-20
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDC 4046 DC111N00000X
PADC011622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor