Organization
BERKS LEBANON PODIATRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G. LOUDIS DPM (OWNER)
(610) 374-7583
Entity
Organization
Contact information
Practice address
200 READING AVE STE 101, WEST READING, PA 19611-1140
(610) 374-7583
(610) 374-2210
Mailing address
200 READING AVE STE 101, WEST READING, PA 19611-1140
(610) 374-7583
(610) 374-2210
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-003257L
PA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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