DAVID S VANDERLYKE D P M NPI 1043496326

NPI Information

DAVID S VANDERLYKE D P M is a podiatrist in Philadelphia, PA. The provider is 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. DAVID S VANDERLYKE D P M NPI is 1043496326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

842 RED LION RD STE 10
PHILADELPHIA, PA
ZIP 19115-475
Phone: (215) 673-7036
Fax: (215) 673-9670

The provider's authorized official is David S Vanderlyke .
The authorized official title is Dpm and has the following contact phone number (215) 673-7036.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 5/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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