# BANGOR PODIATRY LLC

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

## Provider details

- **NPI number:** 1366491938
- **Authorized official:** DR. CHERALYN PERKINS DPM (PRESIDENT)
- **Authorized official phone:** (610) 588-6621

## Contact information

- **Practice address:** 129 N 11TH ST, BANGOR, PA 18013-1603
- **Practice address phone:** (610) 588-6621
- **Practice address fax:** (610) 588-6307
- **Mailing address:** 325 BLUE VALLEY DR, BANGOR, PA 18013-1526
- **Mailing address phone:** (610) 588-6621
- **Mailing address fax:** (610) 588-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004468L | PA | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 03/26/2024