Organization
BRUCE R. GANEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R. GANEY D.P.M. (PRESIDENT)
(610) 366-8637
Entity
Organization
Contact information
Practice address
5074 KERNSVILLE RD., OREFIELD, PA 18069-0267
(610) 366-8637
(610) 366-7745
Mailing address
PO BOX 267, 5074 KERNSVILLE RD., OREFIELD, PA 18069-0267
(610) 366-8637
(610) 366-7745
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003495L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001234327
—
PA
01
—
SC003495L
LICENSE
PA
Enumeration date
04/27/2007
Last updated
02/13/2008
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