Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | SC006938 | PA |
N | 213E00000X | Podiatrist | SC006938 | PA |
N | 222Z00000X | Podiatrist | SC006938 | PA |
NPI | 1821409632 |
---|---|
Provider Name | Dr. Alan C Stuto |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 06/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
371920501 | (05) | TX |
371920502 | CSHCN (01) | TX |