Eastern Podiatry Pllc

NPI #1366942526 in Washington, Iowa

Provider Information

NPI Number: 1366942526
Entity Type: Organization
Organization Name: Eastern Podiatry Pllc
Primary Specialty: Podiatrist
Enumeration Date: Feb 14, 2018
Last Updated: Feb 14, 2018

Practice Location

Address: 601 E POLK ST
City: Washington
State: Iowa
ZIP Code: 52353-1238
Phone: (718) 972-5000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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