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Organization
NORTHEAST FOOT & ANKLE ASSOCIATES, LLC.
Active
Organization
NORTHEAST FOOT & ANKLE ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTINE M METCHO DPM (OWNER)
(570) 457-6540
Entity
Organization
Contact information
Practice address
532 MAIN ST, SUITE #2, MOOSIC, PA 18507-1074
(570) 457-6540
(570) 457-6541
Mailing address
532 MAIN ST, SUITE #2, MOOSIC, PA 18507-1074
(570) 457-6540
(570) 457-6541
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004803L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
SC004803-L
PA
Other
Enumeration date
06/16/2010
Last updated
07/09/2012
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