Individual
BRUCE E ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
110 WOODFIELD DR, GREENVILLE, PA 16125
(724) 588-6160
(724) 588-0122
Mailing address
PO BOX 637, GREENVILLE, PA 16125
(724) 588-6160
(724) 588-0122
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC002545L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002545L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010401540003
—
PA
Enumeration date
12/05/2005
Last updated
04/14/2008
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