Individual
RONALD JAMES MAKUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2 BROOKHILL RD, SUGARLOAF, PA 18249-1045
(570) 788-2776
(570) 788-5049
Mailing address
2 BROOKHILL RD, SUGARLOAF, PA 18249-1045
(570) 788-2776
(570) 788-5049
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC 002077 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442480019
RAILROAD MEDICARE
PA
01
—
50002755
CAPITAL BLUE CROSS
PA
01
—
MA93115
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/12/2006
Last updated
02/13/2008
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