| Nicole Chwastiak, DPM | |
|
617 E Broad St, Tamaqua, PA 18252-2206 | |
| (570) 668-5170 | |
| (570) 668-5171 |
| Full Name | Nicole Chwastiak |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot Surgery |
| Location | 617 E Broad St, Tamaqua, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649670803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | SC006565 (Pennsylvania) | Primary |
| Provider Name | Richard Chwastiak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083615918 PECOS PAC ID: 1153461819 Enrollment ID: I20091211000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Chwastiak, DPM 615 E Broad St, Tamaqua, PA 18252-2206 Ph: () - | Nicole Chwastiak, DPM 617 E Broad St, Tamaqua, PA 18252-2206 Ph: (570) 668-5170 |
Richard Chwastiak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 617 E Broad St, Tamaqua, PA 18252 Phone: 570-668-5170 Fax: 570-668-5171 | |
Advent Foot And Ankle Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 243 E Broad St, Tamaqua, PA 18252 Phone: 570-249-1021 | |
Richard Chwastiak Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 617 E Broad St, Tamaqua, PA 18252 Phone: 570-668-5170 Fax: 570-668-5171 |