Healthcare Provider Details

I. General information

NPI: 1114103942
Provider Name (Legal Business Name): JOHN S. TURRISI, DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 S 5TH ST
READING PA
19602-1692
US

IV. Provider business mailing address

103 S 5TH ST
READING PA
19602-1692
US

V. Phone/Fax

Practice location:
  • Phone: 610-373-7118
  • Fax: 610-685-1078
Mailing address:
  • Phone: 610-373-7118
  • Fax: 610-685-1078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC003043-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN S TURRISI
Title or Position: OWNER
Credential: DPM
Phone: 610-373-7118