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1205807815
RICHARD CHWASTIAK
TAMAQUA, PA
NPI
1205807815
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Entity Type
Organization
Authorized Contact
RICHARD CHWASTIAK
Owner
570-668-5170
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2006-01-31
Last Update Date
2015-03-16
Business Address
RICHARD CHWASTIAK
617 E BROAD ST
TAMAQUA, PA 18252-2206
Phone number: 570-668-5170
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Mailing Address
RICHARD CHWASTIAK
617 E BROAD ST
TAMAQUA, PA 18252-2206
Phone number: 570-668-5170
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