| NPI | 1568854412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN GOLDSTEIN Physician/Owner 724-224-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005921) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC005921) |
| 213ER0200X Podiatrist, Radiology (Licence: PA SC005921) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |