Healthcare Provider Details

I. General information

NPI: 1356771950
Provider Name (Legal Business Name): MARTIN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2013
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PLEASANT VALLEY RD
YORK PA
17402-9627
US

IV. Provider business mailing address

2300 PLEASANT VALLEY RD
YORK PA
17402-9627
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-3537
  • Fax: 717-718-8665
Mailing address:
  • Phone: 717-757-3537
  • Fax: 717-718-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY A. DUNKERLEY
Title or Position: PRESIDENT, PARTNER
Credential: DPM
Phone: 717-757-3537