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Organization
MONTCO WOUND AND PRIMARY CARE CENTER PC
Active
Organization
MONTCO WOUND AND PRIMARY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MICHAEL LETIZIO DO (AUTHORIZED OFFICIAL)
(484) 378-2424
Entity
Organization
Contact information
Practice address
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
(484) 378-2424
(484) 723-5324
Mailing address
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
(484) 378-2424
(484) 723-5324
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/27/2024
Last updated
02/25/2025
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