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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD CHWASTIAK, DPM

Active Sole Proprietor

RICHARD CHWASTIAK, DPM is a Podiatrist healthcare provider located in TAMAQUA, Pennsylvania. NPI 1083615918 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · TAMAQUA, PA

Registration Details

NPI Number
1083615918
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2005 (21.063895987154 yrs)
Last Updated
Dec 17, 2007
License
SC002158L (PA)
Sole Proprietor
Yes

Practice Information

Address
617 E BROAD ST
TAMAQUA, PA, 182522206
Browse PA providers · Browse ZIP 18252
Phone
5706685170
Fax
5706685171
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.