Individual
MS. JUSTINE M METCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
532 MAIN ST, SUITE #2, MOOSIC, PA 18507-1001
(570) 457-6540
(570) 457-6541
Mailing address
532 MAIN ST, SUITE #2, MOOSIC, PA 18507-1001
(570) 457-6540
(570) 457-6541
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004803L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074462
RAILROAD MEDICARE
PA
05
—
1009955070005
—
PA
01
—
1620344
BLUE SHIELD PA
PA
01
—
163916
UNISON
PA
01
—
3504465
AETNA HEALTH PLANS HMO
PA
01
—
7715557
AETNA HEALTH PLANS PPO 7715557
PA
01
—
818157
FIRST PRIORITY HEALTH
PA
01
—
86860
GEISINGER HEALTH PLAN
PA
Enumeration date
07/07/2006
Last updated
04/04/2016
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