NPI 1679699052
Jonathan W. McCullough, Dcpc
Practice location
- Address
- 35 Lakeside Dr, Levittown, PA 19054-3901
- Phone
- (215) 946-0444
- Fax
- (215) 946-0448
Authorised official
- Name
- Jonathan W McCullough
- Title
- President
- Phone
- (215) 946-0444
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1679699052
- Entity type
- Organization
- NPI issued
- 21 Mar 2007
- Record last updated
- 20 Apr 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.