| Organization Name: | SPRINGFIELD PODIATRY LLC |
| NPI Number: | 1033211552 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE B. SIEGERMAN (OWNER) |
| Mailing Address: | 648 Childs Ave Drexel Hill |
| State: | PA US |
| Postal Code: | 190263805 |
| Phone Number: | 4845210233 |
| Fax Number: | 4845210235 |
| NPI Enumeration Date: | 09/04/2006 |
| NPI Last Update Date: | 02/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | SC003867L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |