| Organization Name: | BERKS FOOT & ANKLE SURGICAL ASSOCIATES, INC. |
| NPI Number: | 1245309319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN T NAUGLE (PRESIDENT) |
| Mailing Address: | 654 Philadelphia Ave Shillington |
| State: | PA US |
| Postal Code: | 196072769 |
| Phone Number: | 6107969522 |
| Fax Number: | 6107960105 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 11/13/2012 |
| 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: | |