Provider Demographics
NPI:1871865022
Name:MADDAS, AARON DOUGLAS (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:DOUGLAS
Last Name:MADDAS
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Gender:M
Credentials:DC
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Mailing Address - Street 1:870 MCCLELLANDTOWN RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MC CLELLANDTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15458-1116
Mailing Address - Country:US
Mailing Address - Phone:724-430-4924
Mailing Address - Fax:724-430-4925
Practice Address - Street 1:870 MCCLELLANDTOWN RD
Practice Address - Street 2:SUITE 7
Practice Address - City:MC CLELLANDTOWN
Practice Address - State:PA
Practice Address - Zip Code:15458-1116
Practice Address - Country:US
Practice Address - Phone:724-430-4924
Practice Address - Fax:724-430-4925
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADC010549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor