Organization
TWIN RIVERS PODIATRY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RAFELTI DPM (OWNER/DR)
(610) 533-3543
Entity
Organization
Contact information
Practice address
25 SOUTH BROAD ST, NAZARETH, PA 18064-2167
(610) 759-1326
(610) 759-2773
Mailing address
25 SOUTH BROAD ST, STE 103, NAZARETH, PA 18064-2167
(610) 759-1326
(610) 789-2773
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI7721
RAILROAD MEDICARE PART B
NJ
01
—
CN5074
RAILROAD MEDICARE PART B
PA
Enumeration date
05/05/2006
Last updated
02/13/2015
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