Organization Name: | PA FOOT AND ANKLE ASSOCIATES LLC |
NPI Number: | 1093080608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM J. TEICHMAN (OWNER) |
Mailing Address: | 341 E Bertsch St Lansford |
State: | PA US |
Postal Code: | 182322111 |
Phone Number: | 5708054777 |
Fax Number: | 5708054779 |
NPI Enumeration Date: | 03/14/2012 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |