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NPI Code Detail

MEDICARE: DR. JILL C EPSTEIN DPM

MEDICARE:  DR. JILL C EPSTEIN  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristSC004817LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326046608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL C EPSTEIN DPM
Provider Business Mailing Address
First Line : 75 SUNGLO DR
Second Line :
City : LEESPORT
State : PA
Zip : 19533-8673
Country : US
Telephone Number : 610-349-6703
Fax Number : 610-691-0642
Provider Business Practice Location Address
First Line : 35 E ELIZABETH AVE
Second Line : SUITE 13
City : BETHLEHEM
State : PA
Zip : 18018-6505
Country : US
Telephone Number : 610-349-6703
Fax Number : 610-691-0642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/30/2014

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Directions to “ DR. JILL C EPSTEIN DPM” Practice Location

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