Organization Name: | JOSEPH A. GERSHEY, D.P.M., P.C. |
NPI Number: | 1285790865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH ANTHONY GERSHEY (PRESIDENT) |
Mailing Address: | 1034 Main St Dickson City |
State: | PA US |
Postal Code: | 185191340 |
Phone Number: | 5704898866 |
Fax Number: | 5704898875 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 05/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC003369L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |