Healthcare Provider Details

I. General information

NPI: 1689649824
Provider Name (Legal Business Name): WILLIAM ANDREW OFRICHTER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 CENTER ST SUITE 101
NORTHAMPTON PA
18067-1321
US

IV. Provider business mailing address

2030 CENTER ST SUITE 101
NORTHAMPTON PA
18067-1321
US

V. Phone/Fax

Practice location:
  • Phone: 610-261-1001
  • Fax: 610-261-2589
Mailing address:
  • Phone: 610-261-1001
  • Fax: 610-261-2589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberSC002349L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: