Individual
EDWARD J GAYDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
111 LILLY ST, SCHUYLKILL HAVEN, PA 17972-1154
(570) 385-1190
(570) 385-1190
Mailing address
305 VILLAGE RD, ORWIGSBURG, PA 17961-9688
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003058L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119540001
DMERC
PA
Enumeration date
07/04/2006
Last updated
02/28/2013
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