Individual
DR. EDWARD EUSEBIO VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2501 GARRETT RD, DREXEL HILL, PA 19026-1010
(610) 623-3540
(610) 623-2327
Mailing address
2501 GARRETT RD, DREXEL HILL, PA 19026-1010
(610) 623-3540
(610) 623-2327
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003875L
PA
213ES0131X
Foot Surgery Podiatrist
SC003875L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015260540002
—
PA
Enumeration date
08/27/2005
Last updated
01/07/2011
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