| NPI | 1063662575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A MARTY President 724-543-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC002620-L) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004665-L) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |