Holtgate Podiatry Pllc | |
717 Market St, Suite 101, Lemoyne, PA 17043-1581 | |
(717) 731-1133 | |
(717) 635-8385 |
Full Name | Holtgate Podiatry Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 717 Market St, Lemoyne, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154649937 | NPI | - | NPPES |
DQ1524 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | SC006019 (Pennsylvania) | Primary |
Provider Name | Peter S Holtz |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205829983 PECOS PAC ID: 0941277982 Enrollment ID: I20100520000465 |
Provider Name | Sally Ahmed Fayed |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1356758460 PECOS PAC ID: 8729371919 Enrollment ID: I20160726001422 |
Mailing Address | Practice Location Address |
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Holtgate Podiatry Pllc Po Box 415, Lemoyne, PA 17043-0415 Ph: (717) 731-1133 | Holtgate Podiatry Pllc 717 Market St, Suite 101, Lemoyne, PA 17043-1581 Ph: (717) 731-1133 |
Peter S Holtz, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 717 Market St, Suite 101, Lemoyne, PA 17043 Phone: 717-731-1133 Fax: 717-635-8385 | |
Sally Ahmed Fayed, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 717 Market St Ste 101, Lemoyne, PA 17043 Phone: 717-731-1133 |