Organization
KUBICKI PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY KUBICKI DPM (DOCTOR)
(570) 759-5011
Entity
Organization
Contact information
Practice address
130 W 2ND ST, BERWICK, PA 18603-4749
(570) 579-5011
(570) 579-5040
Mailing address
130 W 2ND ST, BERWICK, PA 18603-4749
(570) 579-5011
(570) 579-5040
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004606L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC004606L
LICENSE #
PA
Enumeration date
07/04/2006
Last updated
08/18/2015
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