Organization
SEWICKLEY FOOT AND ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G MARTIN DPM (PHYSICIAN/OWNER)
(412) 741-4470
Entity
Organization
Contact information
Practice address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-4470
Mailing address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-4470
(412) 741-1332
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982126827
AUTHORIZED PROVIDER NPI
—
01
—
SCOO6872
STATE LICENSE
PA
Enumeration date
05/18/2020
Last updated
07/01/2020
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