Provider Demographics
NPI:1376791905
Name:ECONOMOU, IRENE E (DPM)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:E
Last Name:ECONOMOU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:251 CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1209
Mailing Address - Country:US
Mailing Address - Phone:610-865-1380
Mailing Address - Fax:610-865-0834
Practice Address - Street 1:251 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1209
Practice Address - Country:US
Practice Address - Phone:610-865-1380
Practice Address - Fax:610-865-0834
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006044213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery