Dpmnoelprpa LLC

Organization Active NPI Primary Podiatric Medicine Podiatrist · Brookhaven, PA

NPI 1265630438 · NPPES record last updated Jul 10, 2007

Key facts

NPI
1265630438
Entity type
Organization (NPI type 2)
Primary specialty
Primary Podiatric Medicine Podiatrist 213EP1101X
License
SC005973 (PA)
Legal business name
DPMNOELPRPA LLC
Practice address
3209 Edgmont Ave
Brookhaven, PA 19015-3104
Phone
(800) 645-0721
Fax
(610) 874-0277
NPI assigned
Jul 10, 2007
Organization subpart
No

Authorized official

Name
James F Noel, DPM
Title
Owner
Phone
(732) 447-8313

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213EP1101X SC005973 PA Yes

Addresses

Primary practice location

3209 Edgmont Ave
Brookhaven, PA 19015-3104

Mailing address

1923 Welsh Rd
Philadelphia, PA 19115-4659
Phone (800) 645-0721

Other providers in Brookhaven, PA

All providers in Brookhaven, PA · Primary Podiatric Medicine Podiatrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.