Organization
BRADFORD FOOT AND ANKLE SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M KUMP DPM (OWNER)
(570) 297-2118
Entity
Organization
Contact information
Practice address
105 JOHN ST, TROY, PA 16947-1117
(570) 297-2118
(570) 297-0179
Mailing address
1143 NORTHERN BLVD, #170, CLARKS SUMMIT, PA 18411-2221
(570) 451-3910
(570) 451-3236
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
SC003249L
PA
Other
Enumeration date
02/28/2006
Last updated
07/01/2008
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