Organization
CARBON FOOT AND ANKLE CENTERS PC
Active
Organization
CARBON FOOT AND ANKLE CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT JOSEPH GUSTAFSON DPM (VICE PRESIDENT)
(610) 377-5544
Entity
Organization
Contact information
Practice address
215 S 1ST ST, LEHIGHTON, PA 18235-2163
(610) 377-5544
(610) 377-6744
Mailing address
215 S 1ST ST, LEHIGHTON, PA 18235-2163
(610) 377-5544
(610) 377-6744
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004598L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022344500001
—
PA
Enumeration date
08/19/2008
Last updated
02/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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