Larry W Menacker is a Philadelphia, Pennsylvania based male podiatrist who is specialized in Podiatry. Active license number of Larry W Menacker for Podiatry is SC001941L in Pennsylvania. Larry W Menacker is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Larry W Menacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
2416 E Allegheny Ave, Philadelphia, Pennsylvania, 19134-4403
Phone:
215-843-2330
Fax:
215-848-6760
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1376509844
NPI Enumeration Date:
25 Apr, 2006
NPI Last Update On:
25 Mar, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry W Menacker are as mentioned below.
License Number
Specialization
State
Status
SC001941L
Podiatry
Pennsylvania
Primary
MD1184
Podiatry
New Jersey
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry W Menacker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0016086790004
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2416 E Allegheny Ave, Philadelphia, Pennsylvania
Zip:
19134-4403
Phone Number:
215-843-2330
Fax Number:
215-848-6760
Patients can reach Larry W Menacker at 2416 E Allegheny Ave, Philadelphia, Pennsylvania or can call to book an appointment on 215-843-2330. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
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