Organization
JOHN F BUSHTA DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F BUSHTA DPM (PODIATRIST)
(570) 489-4784
Entity
Organization
Contact information
Practice address
1439 MAIN ST, PECKVILLE, PA 18452-2031
(570) 489-4784
(570) 489-4583
Mailing address
1439 MAIN ST, PECKVILLE, PA 18452-2031
(570) 489-4784
(570) 489-4583
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003714L
PA
Other
Enumeration date
09/26/2007
Last updated
06/27/2014
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