Organization Name: | ADVENT FOOT AND ANKLE INC. |
NPI Number: | 1134397136 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER JAMES JOHNSON (PRESIDENT/SOLE SHAREHOLDER) |
Mailing Address: | 243 E Broad St Tamaqua |
State: | PA US |
Postal Code: | 182522009 |
Phone Number: | 5702491021 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |