Organization
PETER P SIDORIAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER P SIDORIAK DPM (PODIATRIST)
(570) 622-3668
Entity
Organization
Contact information
Practice address
1851 W END AVE, POTTSVILLE, PA 17901-2050
(570) 622-3668
(570) 622-2920
Mailing address
1851 W END AVE, POTTSVILLE, PA 17901-2050
(570) 622-3668
(570) 622-2920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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