Individual provider · Type 1 NPI

Corinna Castillo Peslak, DPM

Foot & Ankle Surgery Podiatrist · Philadelphia, PA

NPI number 1790304863 Active

Practice location

139 E Lehigh Ave
Philadelphia, PA 19125-1011

Mailing address

2701 Holme Ave Ste 204
Philadelphia, PA 19152-2029

Other practice locations

  • 2701 Holme Ave Ste 204, Philadelphia, PA 19152-2029 · (215) 335-1914
  • 1501 Lansdowne Ave Ste 304, Darby, PA 19023-1333 · (610) 623-1599

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XSC007103 (PA)
Primary Podiatric Medicine Podiatrist 213EP1101XSC007103 (PA)
Sports Medicine Podiatrist 213ES0000XSC007103 (PA)
Foot Surgery Podiatrist 213ES0131XSC007103 (PA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC007103 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1790304863

Corinna Castillo Peslak, DPM's National Provider Identifier is 1790304863, issued on Apr 9, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 17, 2024.