Organization
COMPREHENSIVE FAMILY FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL CAREY EPSTEIN DPM (PODIATRIST)
(610) 349-6703
Entity
Organization
Contact information
Practice address
35 E ELIZABETH AVE, SUITE 13, BETHLEHEM, PA 18018-6505
(610) 349-6703
Mailing address
75 SUNGLO DR, LEESPORT, PA 19533-8673
(610) 349-6703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SC004817L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019717590001
—
PA
01
—
07149LPB
MEDICARE ID - TYPE UNSPECIFIED
PA
Enumeration date
10/29/2014
Last updated
10/29/2014
Update your record
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