Organization
MONTCO WOUND AND PRIMARY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MICHAEL LETIZIO DO (AUTHORIZED OFFICIAL)
(484) 378-2424
Entity
Organization
Contact information
Practice address
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
(484) 378-2424
(484) 723-5324
Mailing address
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406-4201
(484) 378-2424
(484) 723-5324
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/27/2024
Last updated
02/25/2025
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