IndividualActive
Andrew Puckett, DPM
NPI 1174523856 · Foot & Ankle Surgery Podiatrist · Allentown, PA
Provider details
- NPI number
- 1174523856
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- SC005521 (PA)
Mailing address
827 W Wyoming St
Allentown, PA 18103-3961
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.