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Bangor Podiatry Llc
Foot & Ankle Surgery Podiatrist in Bangor, Pennsylvania
NPI 1366491938

Bangor Podiatry Llc is a Foot & Ankle Surgery Podiatrist based in Bangor, PA and is specialized in Foot & Ankle Surgery. Bangor Podiatry Llc practices in Bangor, PA. The NPI Number for Bangor Podiatry Llc is 1366491938 and holds a License No. SC004468L (Pennsylvania).

The current practice location address for Bangor Podiatry Llc is 129 N 11Th St, Bangor, PA and can be reached out via phone at 610-588-6621 and via fax at 610-588-6307.

Location: 129 N 11Th St, Bangor, PA, 18013-1526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366491938
Provider Name
Bangor Podiatry Llc
Credential
Provider Entity Type
Organization
Address
129 N 11Th St, Bangor, PA, 18013-1526
Phone Number
610-588-6621
Fax Number
610-588-6307
Provider Enumeration Date
05/09/2006
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
129 N 11Th St
City
Bangor
State
Pennsylvania
Zip
18013-1603
Phone Number
610-588-6621
Fax Number
610-588-6307
person
Provider Business Mailing Address Details
Address
129 N 11Th St
City
Bangor
State
Pennsylvania
Zip
18013-1603
Phone Number
610-588-6621
Fax Number
610-588-6307
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC004468L (Pennsylvania)
Definition
Definition to come...
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