Organization
BRUCE E ABBOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E ABBOTT (OWNER)
(724) 588-6160
Entity
Organization
Contact information
Practice address
110 WOODFIELD DR, GREENVILLE, PA 16125-1250
(724) 588-6160
(724) 588-0122
Mailing address
PO BOX 637, GREENVILLE, PA 16125-0637
(724) 588-6160
(724) 588-0122
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002545L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010401540003
—
PA
Enumeration date
09/29/2006
Last updated
11/05/2013
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