Organization · Type 2 NPI
Dpmnoelprpa LLC
Primary Podiatric Medicine Podiatrist · Brookhaven, PA
NPI number
1265630438
Active
Practice location
3209 Edgmont Ave
Brookhaven, PA 19015-3104
Fax (610) 874-0277
Mailing address
1923 Welsh Rd
Philadelphia, PA 19115-4659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | SC005973 (PA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
Other primary podiatric medicine podiatrist providers in Brookhaven
About NPI 1265630438
Dpmnoelprpa LLC's National Provider Identifier is 1265630438, issued on Jul 10, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Brookhaven, PA. The record was last updated on Jul 10, 2007.