Organization
POCONO PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL M LATZANICH D.P.M. (PRESIDENT)
(570) 424-1031
Entity
Organization
Contact information
Practice address
175 E BROWN ST, SUITE 110, EAST STROUDSBURG, PA 18301-3098
(570) 424-1031
(570) 424-5086
Mailing address
175 E BROWN ST, SUITE 110, EAST STROUDSBURG, PA 18301-3098
(570) 424-1031
(570) 424-5086
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480022295
RAILROAD MEDICARE
PA
Enumeration date
07/23/2006
Last updated
04/23/2008
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