| NPI | 1467998435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SMARGIASSI Owner 484-797-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA sc004439L) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: PA sc004439L) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA sc004439L) | |
| 213ER0200X Podiatrist, Radiology (Licence: PA sc004439L) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: PA sc004439L) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA sc004439L) | |
| 213ES0131X (Licence: PA sc004439L) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2020-05-03 |