Richard Chwastiak

NPI #1205807815 in Tamaqua, Pennsylvania

Provider Information

NPI Number: 1205807815
Entity Type: Organization
Organization Name: Richard Chwastiak
Primary Specialty: Podiatrist
Enumeration Date: Jan 31, 2006
Last Updated: Mar 16, 2015

Practice Location

Address: 617 E BROAD ST
City: Tamaqua
State: Pennsylvania
ZIP Code: 18252-2206
Phone: (570) 668-5170

Authorized Official

Name: RICHARD CHWASTIAK, DPM
Title: OWNER
Phone: (570) 668-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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