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Contact Information

FOOT AND ANKLE CENTER OF PHILADELPHIA
235 N BROAD STREET
SUITE 300
PHILADELPHIA, PA19107
 Phone: 215-568-3510
 Fax: 215-568-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE CENTER OF PHILADELPHIA · (Female)

NPI # 1902044035
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2009
Last updated 01/28/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # SC002554L
  • PA Medicaid 0097805810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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