Organization
COUNTY OF MONTGOMERY PODIATRY
Active
Parent organization
PARKHPUSE PROVIDENCE POINTE
Other names
PARKHOUSE PROVIDENCE POINTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKHPUSE PROVIDENCE POINTE
Authorized official
MELANIE DEBLASE DON (ADMINISTRATOR)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548212061
NPI#
PA
01
—
178087
PROVIDER #
PA
01
—
480027673
RAIROAD #
PA
Enumeration date
05/19/2008
Last updated
05/19/2008
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