MADISON LEE PODIATRY INC NPI 1912955162

NPI Information

MADISON LEE PODIATRY INC is a podiatrist in Shaker Heights, OH. 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. MADISON LEE PODIATRY INC NPI is 1912955162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3691 LEE RD
SUITE 102
SHAKER HEIGHTS, OH
ZIP 44120-145
Phone: (216) 491-9902
Fax: (216) 491-8151

The provider's authorized official is Robert Thomas Portnow .
The authorized official title is President and has the following contact phone number (216) 491-9902.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/21/2010.

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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