Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI # | 1336564749 |
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| LBN Legal business name | OAK TREE PODIATRY, PA | ||||
| Authorized official | SARA BORKOSKY - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/21/2014 | ||||
| Last updated | 10/24/2016 - About 10 years ago | ||||
| Identifiers |
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OAK TREE PODIATRY, PA
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