Healthcare Provider Details
I. General information
NPI: 1811909252
Provider Name (Legal Business Name): MARC A KARPO PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2006
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1246 W MAIN ST
NORRISTOWN PA
19401-4365
US
IV. Provider business mailing address
1246 W MAIN ST
NORRISTOWN PA
19401-4365
US
V. Phone/Fax
- Phone: 610-272-6554
- Fax: 610-279-0423
- Phone: 610-272-6554
- Fax: 610-279-0423
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARC
A
KARPO
Title or Position: OWNER
Credential: DPM
Phone: 610-272-6554