Organization Name: | MICHAEL S. PRESTI D.P.M., P.A. |
NPI Number: | 1184821159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL S PRESTI (PODIATRIST) |
Mailing Address: | 131 S Union Ave Suite C Havre De Grace |
State: | MD US |
Postal Code: | 210783125 |
Phone Number: | 4109390055 |
Fax Number: | 4109390093 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 01342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |