Healthcare Provider Details

I. General information

NPI: 1902854375
Provider Name (Legal Business Name): THOMAS M ROCCHIO PODIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2895 HAMILTON BLVD SUITE 101
ALLENTOWN PA
18104-6172
US

IV. Provider business mailing address

2895 HAMILTON BLVD SUITE 101
ALLENTOWN PA
18104-6172
US

V. Phone/Fax

Practice location:
  • Phone: 610-437-1500
  • Fax: 610-437-1555
Mailing address:
  • Phone: 610-437-1500
  • Fax: 610-437-1555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS M ROCCHIO
Title or Position: MANAGING MEMBER
Credential: D.P.M.
Phone: 610-437-1500