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NPI Code Detail

MEDICARE: DR. RONALD REPLOGLE D.P.M.

MEDICARE: DR. RONALD REPLOGLE D.P.M.
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
1213ES0131XFoot Surgery PodiatristN004179NY

General Provider Information

NPI Number : 1578568705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD REPLOGLE D.P.M.
Provider Business Mailing Address
First Line : 578 SUNRISE HWY
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-6003
Country : US
Telephone Number : 631-893-7030
Fax Number : 631-893-7066
Provider Business Practice Location Address
First Line : 578 SUNRISE HWY
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-6003
Country : US
Telephone Number : 631-893-7030
Fax Number : 631-893-7066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RONALD REPLOGLE D.P.M.” Practice Location

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