# MONTCO WOUND AND PRIMARY CARE CENTER PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1376351965
- **Authorized official:** ANTHONY MICHAEL LETIZIO DO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (484) 378-2424

## Contact information

- **Practice address:** 583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
- **Practice address phone:** (484) 378-2424
- **Practice address fax:** (484) 723-5324
- **Mailing address:** 583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
- **Mailing address phone:** (484) 378-2424
- **Mailing address fax:** (484) 723-5324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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