# POCONO PODIATRY ASSOCIATES

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

## Provider details

- **NPI number:** 1932121811
- **Authorized official:** DR. CAROL M LATZANICH D.P.M. (PRESIDENT)
- **Authorized official phone:** (570) 424-1031

## Contact information

- **Practice address:** 175 E BROWN ST, SUITE 110, EAST STROUDSBURG, PA 18301-3098
- **Practice address phone:** (570) 424-1031
- **Practice address fax:** (570) 424-5086
- **Mailing address:** 175 E BROWN ST, SUITE 110, EAST STROUDSBURG, PA 18301-3098
- **Mailing address phone:** (570) 424-1031
- **Mailing address fax:** (570) 424-5086

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 04/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 480022295 | RAILROAD MEDICARE | PA |