Organization
LEGACY PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHEL MARIA WRIGHT D.P.M. (OWNER)
(610) 613-3035
Entity
Organization
Contact information
Practice address
131 MADISON AVE, SUITE D, MOUNT HOLLY, NJ 08060-2043
(609) 267-2700
Mailing address
2013 BEVERLY ROAD, BURLINGTON, NJ 08016-0115
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00245100
NJ
Other
Enumeration date
07/03/2006
Last updated
11/19/2007
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