| Organization Name: | POCONO PODIATRY ASSOCIATES |
| NPI Number: | 1639309263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL M LATZANICH (PRESIDENT) |
| Mailing Address: | 100 Community Dr Ste. 206 Mountain Healthcare Center Tobyhanna |
| State: | PA US |
| Postal Code: | 184668985 |
| Phone Number: | 5708393668 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2009 |
| NPI Last Update Date: | 06/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC004054-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |