Organization
BANGOR PODIATRY LLC
Active
Other names
Bangor Podiatry of Bethlehem
Organization subpart
No
Provider details
NPI number
Authorized official
CHERALYN PERKINS (OFFICE MANAGER)
(610) 588-6621
Entity
Organization
Contact information
Practice address
224 NAZARETH PIKE, BETHLEHEM, PA 18020-9080
(610) 351-9244
(610) 351-9247
Mailing address
325 BLUE VALLEY DR, BANGOR, PA 18013-1526
(610) 588-6621
(610) 588-6307
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025694980001
—
PA
Enumeration date
04/25/2016
Last updated
03/26/2024
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