Doctor Name: | DR. EDWARD PHILIP EPSTEIN |
NPI Number: | 1124027974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC001305L |
Business Practice Address: | 84 Boylston St Bradford, PA - 167012011 |
Business Phone Number: | 8143624104 |
Business Fax Number: | |
Mailing Address: | 84 Boylston St, BRADFORD |
State: | PA |
Postal Code: | 167012011 |
Phone Number: | 8143624104 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 02/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC001305L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |