Individual provider · Type 1 NPI
Nicole Chwastiak, DPM
Foot Surgery Podiatrist · Tamaqua, PA
NPI number
1649670803
Active
Practice location
617 E Broad St
Tamaqua, PA 18252-2206
Fax (570) 668-5171
Mailing address
615 E Broad St
Tamaqua, PA 18252-2206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | SC006565 (PA) |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot surgery podiatrist providers in Tamaqua
About NPI 1649670803
Nicole Chwastiak, DPM's National Provider Identifier is 1649670803, issued on Aug 25, 2014. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Tamaqua, PA. The record was last updated on Jun 23, 2017.