Organization Name: | MOUNT CARMEL FAMILY FOOT CARE, PC |
NPI Number: | 1467826107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE G. IGLIO (PODIATRIST) |
Mailing Address: | 50 W 2nd St Mount Carmel |
State: | PA US |
Postal Code: | 178511354 |
Phone Number: | 5703395024 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | SC006059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |