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Organization
JEFFREY T MOLINARO DPM PC
Active
Organization
JEFFREY T MOLINARO DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T MOLINARO DPM (OWNER)
(412) 787-8380
Entity
Organization
Contact information
Practice address
101 DIXIE DR, OAKDALE, PA 15071-1516
(412) 787-8380
(412) 787-8380
Mailing address
101 DIXIE DR, OAKDALE, PA 15071-1516
(412) 787-8380
(412) 787-8380
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-003779R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0887895
MEDICARE ID
OH
01
—
0887896
MEDICARE ID
OH
01
—
1184618639
GROUP NPI
OH
05
—
1392756
—
PA
01
—
1699772822
GROUP NPI
OH
01
—
489493
MEDICARE ID
PA
Enumeration date
10/26/2011
Last updated
10/26/2011
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