Organization Name: | MICHAEL VELTRE DPM PC |
NPI Number: | 1174875637 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL VELTRE (OWNER/OFFICER) |
Mailing Address: | 1601 Lincoln Way White Oak |
State: | PA US |
Postal Code: | 151311720 |
Phone Number: | 4126739222 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2012 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | SC006331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |