NPI 1376600932

First State Podiatry, L.L.C.

Organisation Podiatrist Dover, DE

Practice location

Address: 1177 S Governors Ave STE B, Dover, DE 19904-6903
Phone: (302) 678-4612
Fax: (302) 678-4614

Authorised official

Name: Marco Paul Holgado
Title: Podiatrist
Phone: (302) 678-4612

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence E1-0000139 (DE)

Other Podiatrist providers in Delaware →

Registry record

NPI: 1376600932
Entity type: Organization
NPI issued: 2 Jan 2007
Record last updated: 10 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.