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Organization
WYOMING VALLEY FOOT ASSOCIATES P C
Active
Organization
WYOMING VALLEY FOOT ASSOCIATES P C
Active
Other names
Dr Leon A Ellman PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M TOOLE DPM (PRESIDENT/ AUTHORIZED OFFICIAL)
(570) 283-0220
Entity
Organization
Contact information
Practice address
421 MARKET ST, KINGSTON, PA 18704-5442
(570) 283-0220
(570) 283-1707
Mailing address
421 MARKET ST, KINGSTON, PA 18704-5418
(570) 283-0220
(570) 283-1707
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505757
—
PA
Enumeration date
06/27/2006
Last updated
01/30/2020
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