# TWIN RIVERS PODIATRY P A

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

## Provider details

- **NPI number:** 1770531139
- **Authorized official:** JOHN RAFELTI DPM (OWNER/DR)
- **Authorized official phone:** (610) 533-3543

## Contact information

- **Practice address:** 25 SOUTH BROAD ST, NAZARETH, PA 18064-2167
- **Practice address phone:** (610) 759-1326
- **Practice address fax:** (610) 759-2773
- **Mailing address:** 25 SOUTH BROAD ST, STE 103, NAZARETH, PA 18064-2167
- **Mailing address phone:** (610) 759-1326
- **Mailing address fax:** (610) 789-2773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 02/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CI7721 | RAILROAD MEDICARE PART B | NJ |
| 01 | — | CN5074 | RAILROAD MEDICARE PART B | PA |