Organization
PLEASANT VALLEY PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
7954 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-1202
(609) 703-5097
Mailing address
7954 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-1202
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
36002098
OH
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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