Individual
DR. THOMAS PAUL JIUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM MA
Contact information
Practice address
252 HAYFIELD RD, SHAVERTOWN, PA 18708-8025
(570) 822-6633
(570) 675-4910
Mailing address
252 HAYFIELD RD, SHAVERTOWN, PA 18708-8025
(570) 822-6633
(570) 675-4910
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC002228L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007980500001
—
PA
01
—
0652100001
DME
PA
01
—
355237500
SUPPLIER WORKMANS COMP
PA
Enumeration date
01/20/2006
Last updated
01/15/2021
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