Dr. Richard Rettig
Foot Surgery
1335 W Tabor Rd Ste 206
Philadelphia
, Pennsylvania 19141-3040
Dr. Richard Rettig
Foot Surgery
1335 W Tabor Rd Ste 206
Philadelphia
, Pennsylvania 19141-3040
(215) 927-2008
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Richard Rettig
- 1335 W Tabor Rd Ste 206
- Philadelphia, PA
- Zip : 19141-3040
- Fax : (215) 927-2008
- Phone : (215) 927-2837
Second Address
- Dr. Richard Rettig
- 1335 W Tabor Rd Ste 206
- Philadelphia, PA
- Zip : 19141-3040
- Fax : (215) 927-2008
- Phone : (215) 927-2837
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | SC-002203-L | PA |
National Provider Identifier
| NPI | 1255334439 |
|---|---|
| Provider Name | Dr. Richard Rettig |
| First Address | Philadelphia, PA 19141-3040 |
| Second Address | Philadelphia, PA 19141-3040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 21/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0007644720004 | (05) | PA |
| 480001607 | RAILROAD MEDICARE (01) | PA |
| T29712 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.