Provider Demographics
NPI:1114039567
Name:HERBERT F. ABBOTT, D.P.M., P.C.
Entity Type:Organization
Organization Name:HERBERT F. ABBOTT, D.P.M., P.C.
Other - Org Name:ABOUT FEET PODIATRY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-524-3338
Mailing Address - Street 1:142 JOHN ROBERT THOMAS DR
Mailing Address - Street 2:THE COMMONS AT LINCOLN CENTER
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2656
Mailing Address - Country:US
Mailing Address - Phone:610-524-3338
Mailing Address - Fax:610-524-1441
Practice Address - Street 1:142 JOHN ROBERT THOMAS DR
Practice Address - Street 2:THE COMMONS AT LINCOLN CENTER
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2656
Practice Address - Country:US
Practice Address - Phone:610-524-3338
Practice Address - Fax:610-524-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA48587Medicare ID - Type Unspecified