Eastern Podiatry Pllc

NPI #1104692219 in Lynnwood, Washington

Provider Information

NPI Number: 1104692219
Entity Type: Organization
Organization Name: Eastern Podiatry Pllc
Primary Specialty: Podiatrist
Enumeration Date: Nov 29, 2023
Last Updated: Nov 29, 2023

Practice Location

Address: 3701 188TH ST SW
City: Lynnwood
State: Washington
ZIP Code: 98037-7626
Phone: (718) 972-5000

Authorized Official

Name: ALAN R TAJERSTEIN
Title: OWNER
Phone: (718) 972-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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