Organization
POCONO PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL M LATZANICH D.P.M. (PRESIDENT)
(570) 839-3668
Entity
Organization
Contact information
Practice address
100 COMMUNITY DR, STE. 206 MOUNTAIN HEALTHCARE CENTER, TOBYHANNA, PA 18466-8985
(570) 839-3668
Mailing address
100 COMMUNITY DR STE 206, MOUNTAIN HEALTHCARE CENTER, TOBYHANNA, PA 18466-8987
(570) 839-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004054-L
PA
Other
Enumeration date
07/16/2009
Last updated
06/10/2010
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