Organization
EDWARD J GAYDOS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J GAYDOS DPM, PC (OWNER)
(570) 385-1190
Entity
Organization
Contact information
Practice address
111 LILLY ST, SCHUYLKILL HAVEN, PA 17972-1153
(570) 385-1190
(570) 385-1190
Mailing address
111 LILLY ST, SCHUYLKILL HAVEN, PA 17972-1153
(570) 385-1190
(570) 385-1190
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003058L
PA
Other
Enumeration date
11/13/2007
Last updated
05/06/2009
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