Organization
TRI-COUNTY FOOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT PONGIA DPM (OWNER/PRESIDENT)
(610) 326-0453
Entity
Organization
Contact information
Practice address
1800 E HIGH ST, SUITE 300, POTTSTOWN, PA 19464-3239
(610) 326-0453
(610) 326-3144
Mailing address
1800 E HIGH ST, SUITE 300, POTTSTOWN, PA 19464-3239
(610) 326-0453
(610) 326-3144
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510551
BLUE SHIELD
PA
Enumeration date
08/15/2006
Last updated
09/11/2008
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