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NPI Code Detail

MEDICARE: ELLIOTT HANDWERKER DPM

MEDICARE:   ELLIOTT  HANDWERKER  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
1213E00000XPodiatristE2040CA

General Provider Information

NPI Number : 1912902297
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIOTT HANDWERKER DPM
Provider Business Mailing Address
First Line : 77 MORAGA WAY
Second Line : STE H
City : ORINDA
State : CA
Zip : 94563-3019
Country : US
Telephone Number : 925-254-5046
Fax Number : 925-254-5360
Provider Business Practice Location Address
First Line : 77 MORAGA WAY
Second Line : STE H
City : ORINDA
State : CA
Zip : 94563-3019
Country : US
Telephone Number : 925-254-5046
Fax Number : 925-254-5360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 12/31/2008

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Directions to “ ELLIOTT HANDWERKER DPM” Practice Location

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