Healthcare Provider Details

I. General information

NPI: 1447435466
Provider Name (Legal Business Name): PENN ANKLE AND FOOT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 05/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 PENN AVENUE
READING PA
19609
US

IV. Provider business mailing address

1719 PENN AVENUE
READING PA
19609
US

V. Phone/Fax

Practice location:
  • Phone: 610-376-4880
  • Fax: 610-376-1344
Mailing address:
  • Phone: 610-376-4880
  • Fax: 610-376-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES PETER BARRETT
Title or Position: OWNER
Credential: DPM
Phone: 610-376-4880