Provider Demographics
NPI:1881718849
Name:MICHAEL S. DROHOSKY D.P.M., P.C.
Entity type:Organization
Organization Name:MICHAEL S. DROHOSKY D.P.M., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:DROHOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-933-2250
Mailing Address - Street 1:703 POTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4746
Mailing Address - Country:US
Mailing Address - Phone:610-933-2250
Mailing Address - Fax:610-933-2312
Practice Address - Street 1:703 POTHOUSE RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4746
Practice Address - Country:US
Practice Address - Phone:610-933-2250
Practice Address - Fax:610-933-2312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003359L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1195828Medicaid
596200Medicare PIN
T91525Medicare UPIN
PA1195828Medicaid