Organization
JEFFREY G RIEDER DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A TANTALLA (OFFICE MANAGER)
(570) 489-5550
Entity
Organization
Contact information
Practice address
1234 MAIN ST, PECKVILLE, PA 18452-2043
(570) 489-5550
(570) 489-5958
Mailing address
1234 MAIN ST, PECKVILLE, PA 18452-2043
(570) 489-5550
(570) 489-5958
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003897L
PA
Other
Enumeration date
01/09/2008
Last updated
01/28/2008
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