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Organization
CENTRE FOOTCARE
Active
Organization
CENTRE FOOTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E MOLLO DPM (OWNER)
(814) 237-3338
Entity
Organization
Contact information
Practice address
503 N FRONT ST, PHILIPSBURG, PA 16866-2125
(814) 342-4844
(814) 342-4866
Mailing address
602 E FOSTER AVE, STATE COLLEGE, PA 16801-5724
(814) 237-3338
(814) 237-1680
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015594020009
—
PA
01
—
02474800
KEYSTONE SENIOR BLUE
PA
01
—
055035
HIGHMARK/BLUE SHIELD
PA
01
—
275708
HEALTHAMERICA/ADVANTRA
PA
Enumeration date
05/03/2006
Last updated
01/24/2008
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