Individual
DR. CORINNA CASTILLO PESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
139 E LEHIGH AVE, PHILADELPHIA, PA 19125-1011
(215) 423-9708
Mailing address
2701 HOLME AVE STE 204, PHILADELPHIA, PA 19152-2029
(215) 335-1914
(215) 335-1915
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC007103
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC007103
PA
213ES0000X
Sports Medicine Podiatrist
SC007103
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007103
PA
213ES0131X
Foot Surgery Podiatrist
SC007103
PA
Other
Enumeration date
04/09/2020
Last updated
12/17/2024
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