Provider Demographics
NPI:1306076062
Name:NOTWICK, MAURA AILEEN (DC)
Entity type:Individual
Prefix:DR
First Name:MAURA
Middle Name:AILEEN
Last Name:NOTWICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:760 NEWTOWN YARDLEY RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4500
Mailing Address - Country:US
Mailing Address - Phone:215-579-9200
Mailing Address - Fax:215-579-9298
Practice Address - Street 1:760 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 125
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4500
Practice Address - Country:US
Practice Address - Phone:215-579-9200
Practice Address - Fax:215-579-9298
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor