Organization · Type 2 NPI
Northeast Wound
Foot & Ankle Surgery Podiatrist · Pen Argyl, PA
NPI number
1699079905
Active
Practice location
215 South Robinson Avenue
Pen Argyl, PA 18072-1946
Fax (610) 881-4066
Mailing address
PO Box 241
Delaware Water Gap, PA 18327-0241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC002906L (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1699079905
Northeast Wound's National Provider Identifier is 1699079905, issued on Dec 29, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Pen Argyl, PA. The record was last updated on Mar 15, 2013.