Provider Demographics
NPI:1316642341
Name:DR SIWY PODIATRY ASSOCIATES PLLC
Entity type:Organization
Organization Name:DR SIWY PODIATRY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYMOTEUSZ
Authorized Official - Middle Name:JAKUB
Authorized Official - Last Name:SIWY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:413-686-1875
Mailing Address - Street 1:104 1/2 FORREST AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2220
Mailing Address - Country:US
Mailing Address - Phone:610-664-1070
Mailing Address - Fax:
Practice Address - Street 1:104 1/2 FORREST AVE STE 1
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2220
Practice Address - Country:US
Practice Address - Phone:610-664-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty