Organization · Type 2 NPI
Bangor Podiatry LLC
Foot & Ankle Surgery Podiatrist · Bangor, PA
NPI number
1366491938
Active
Practice location
129 N 11th St
Bangor, PA 18013-1603
Fax (610) 588-6307
Mailing address
325 Blue Valley Dr
Bangor, PA 18013-1526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC004468L (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1366491938
Bangor Podiatry LLC's National Provider Identifier is 1366491938, issued on May 9, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bangor, PA. The record was last updated on Mar 26, 2024.