OrganizationActive
Bangor Podiatry LLC
NPI 1366491938 · Foot & Ankle Surgery Podiatrist · Bangor, PA
Provider details
- NPI number
- 1366491938
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Cheralyn Perkins, President
- License
- SC004468L (PA)
Practice location
129 N 11th St
Bangor, PA 18013-1603
Phone: (610) 588-6621
Fax: (610) 588-6307
Mailing address
325 Blue Valley Dr
Bangor, PA 18013-1526
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.