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Kubicki Podiatry Pc
Foot Surgery Podiatrist in Berwick, Pennsylvania
NPI 1063442853

Kubicki Podiatry Pc is a Foot Surgery Podiatrist based in Berwick, PA and is specialized in Foot Surgery. Kubicki Podiatry Pc practices in Berwick, PA. The NPI Number for Kubicki Podiatry Pc is 1063442853 and holds a License No. SC004606L (Pennsylvania).

The current practice location address for Kubicki Podiatry Pc is 130 W 2Nd St, Berwick, PA and can be reached out via phone at 570-579-5011 and via fax at 570-579-5040.

Location: 130 W 2Nd St, Berwick, PA, 18603-4749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063442853
Provider Name
Kubicki Podiatry Pc
Credential
Provider Entity Type
Organization
Address
130 W 2Nd St, Berwick, PA, 18603-4749
Phone Number
570-579-5011
Fax Number
570-579-5040
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
SC004606L 01 PA LICENSE #
institution
Provider Business Practice Location Address Details
Address
130 W 2Nd St
City
Berwick
State
Pennsylvania
Zip
18603-4749
Phone Number
570-579-5011
Fax Number
570-579-5040
person
Provider Business Mailing Address Details
Address
130 W 2Nd St
City
Berwick
State
Pennsylvania
Zip
18603-4749
Phone Number
570-579-5011
Fax Number
570-579-5040
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
SC004606L (Pennsylvania)
Definition
Definition to come...
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