# POCONO PODIATRY ASSOCIATES

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

## Provider details

- **NPI number:** 1639309263
- **Authorized official:** DR. CAROL M LATZANICH D.P.M. (PRESIDENT)
- **Authorized official phone:** (570) 839-3668

## Contact information

- **Practice address:** 100 COMMUNITY DR, STE. 206 MOUNTAIN HEALTHCARE CENTER, TOBYHANNA, PA 18466-8985
- **Practice address phone:** (570) 839-3668
- **Mailing address:** 100 COMMUNITY DR STE 206, MOUNTAIN HEALTHCARE CENTER, TOBYHANNA, PA 18466-8987
- **Mailing address phone:** (570) 839-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004054-L | PA | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 06/10/2010