Dpmnoelprpa LLC
Podiatrist, Primary Podiatric Medicine in Brookhaven, PA. Organization (NPI-2).
NPI number1265630438
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1265630438
- Entity type
- Organization (NPI-2)
- Legal business name
- Dpmnoelprpa LLC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2007
- Last updated
- Jul 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | SC005973 | PA | Yes |
Practice location
3209 Edgmont AveBrookhaven, PA 19015-3104
Phone 800-645-0721 · Fax 610-874-0277
Mailing address
1923 Welsh RdPhiladelphia, PA 19115-4659
Phone 800-645-0721 · Fax 215-677-3241
Authorized official
James F Noel
Owner
7324478313
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