Bangor Podiatry LLC
Podiatrist, Primary Podiatric Medicine in Bethlehem, PA. Organization (NPI-2).
NPI number1124473426
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1124473426
- Entity type
- Organization (NPI-2)
- Legal business name
- Bangor Podiatry LLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2016
- Certification date
- Mar 26, 2024
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | PA |
Other names
- Bangor Podiatry Of Bethlehem (Doing Business As)
Practice location
224 Nazareth PikeBethlehem, PA 18020-9080
Phone 610-351-9244 · Fax 610-351-9247
Mailing address
325 Blue Valley DrBangor, PA 18013-1526
Phone 610-588-6621 · Fax 610-588-6307
Authorized official
Cheralyn Perkins
Office Manager
6105886621
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