| NPI | 1053695148 |
|---|---|
| Doing Business As | IMG PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH C PILLUS Chief Executive Officer 570-622-5455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |