| Organization Name: | JOHN F BUSHTA DPM PC |
| NPI Number: | 1285821074 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN F BUSHTA (PODIATRIST) |
| Mailing Address: | 1439 Main St Peckville |
| State: | PA US |
| Postal Code: | 184522031 |
| Phone Number: | 5704894784 |
| Fax Number: | 5704894583 |
| NPI Enumeration Date: | 09/26/2007 |
| NPI Last Update Date: | 06/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC003714L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |