# NORTHEAST FOOT & ANKLE ASSOCIATES, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275854010
- **Authorized official:** DR. JUSTINE M METCHO DPM (OWNER)
- **Authorized official phone:** (570) 457-6540

## Contact information

- **Practice address:** 532 MAIN ST, SUITE \#2, MOOSIC, PA 18507-1074
- **Practice address phone:** (570) 457-6540
- **Practice address fax:** (570) 457-6541
- **Mailing address:** 532 MAIN ST, SUITE \#2, MOOSIC, PA 18507-1074
- **Mailing address phone:** (570) 457-6540
- **Mailing address fax:** (570) 457-6541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004803L | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | SC004803-L | PA | — |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 07/09/2012