Organization Name: | ORTHOPEDIC GROUP P C |
NPI Number: | 1639405582 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT BARON (VICE PRESIDENT) |
Mailing Address: | 625 Lincoln Ave Professional Plaza, Suite 107 Charleroi |
State: | PA US |
Postal Code: | 150222451 |
Phone Number: | 7244834880 |
Fax Number: | 7244839414 |
NPI Enumeration Date: | 10/28/2009 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |