BRUTICO FOOT AND ANKLE SURGERY, LLC; NPI #1154057362

Contact Information

BRUTICO FOOT AND ANKLE SURGERY, LLC

255 EAST GROVE STREET
CLARKS SUMMIT, PA 18411

Phone: 570-936-2960
Fax: 570-936-2961
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BRUTICO FOOT AND ANKLE SURGERY, LLC

NPI # 1154057362

LBN Legal business name BRUTICO FOOT AND ANKLE SURGERY, LLC

Authorized official TARA BALSLEY - (PRACTICE ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/29/2022

Last updated 05/14/2024 - About 2 years ago

Identifiers

Medicaid

103894240

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRUTICO FOOT AND ANKLE SURGERY, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BRUTICO FOOT AND ANKLE SURGERY, LLC

Reviews for BRUTICO FOOT AND ANKLE SURGERY, LLC