DPM John J Mollica, NPI 1972605079
Podiatrist in Martinsburg, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1972605079
NPI Entity Type Individual
Provider Name DPM John J Mollica
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 489 Mid Atlantic Pkwy, Suite 1, Martinsburg, WV, US
Provider Mailing Address Po Box 1961, Suite 1, Martinsburg, WV, US, 254021961
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

213E00000X

Taxonomy Name Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

License No. WV00358
License State WV
Description A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

DPM John J Mollica
489 Mid Atlantic Pkwy
Suite 1

Martinsburg, WV, US

Phone: 304-267-3030
Fax: 304-267-0660

Mailing Address

DPM John J Mollica
Po Box 1961
Suite 1
Martinsburg, WV, US
ZIP 254021961
Phone: 304-267-3030
Fax: 304-267-0660

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
SP01201 WV PTAN 01
2102009000 WV MEDICAID 05

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