Organization
PETER L. KING D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN VIOLA (OFFICE MANAGER)
(610) 623-1599
Entity
Organization
Contact information
Practice address
501 S 54TH ST, SUITE 230, PHILADELPHIA, PA 19143-1900
(215) 747-0440
(215) 748-9807
Mailing address
501 S 54TH STREET, SUITE 230, PHILADELPHIA, PA 19143-1900
(215) 747-0440
(215) 748-9807
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
SC002869L
PA
335E00000X
Prosthetic/Orthotic Supplier
Primary
SC002869L
PA
Other
Enumeration date
04/02/2008
Last updated
06/26/2008
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