RICHARD CHWASTIAK

TAMAQUA, PA
NPI1083615918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: PA  SC002158L)
Enumeration Date2005-08-02
Last Update Date2007-12-17
Business Address
-- RICHARD CHWASTIAK DPM
617 E BROAD ST
TAMAQUA, PA 18252-2206
Phone number: 570-668-5170
Mailing Address
-- RICHARD CHWASTIAK DPM
617 E BROAD ST
TAMAQUA, PA 18252-2206
Phone number: 570-668-5170