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NPI Code Detail

MEDICARE: COLLEGEVILLE PODIATRY ASSOCIATES LLC

MEDICARE: COLLEGEVILLE PODIATRY ASSOCIATES LLC
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
1213ES0103XFoot & Ankle Surgery PodiatristSC006006PA

General Provider Information

NPI Number : 1437400686
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLEGEVILLE PODIATRY ASSOCIATES LLC
Provider Business Mailing Address
First Line : 924 MAIN ST
Second Line :
City : HELLERTOWN
State : PA
Zip : 18055-1525
Country : US
Telephone Number : 610-838-7942
Fax Number :
Provider Business Practice Location Address
First Line : 500 W GERMANTOWN PIKE
Second Line : SUITE 1020
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1353
Country : US
Telephone Number : 866-528-8767
Fax Number : 866-528-8767
Authorized Official
Title or Position : PODIATRIST
Name : DR. MAGGIE UMERES SOLIMEO
Credential : DPM
Telephone Number : 866-528-8767
Provider Enumeration Date : 09/27/2012
Last Update Date : 12/06/2013

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Directions to “COLLEGEVILLE PODIATRY ASSOCIATES LLC ” Practice Location

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