Organization · Type 2 NPI

Foot Forward Podiatry, LLC

Foot & Ankle Surgery Podiatrist · Philadelphia, PA

NPI number 1104152552 Active

Practice location

501 S 54th St, Suite 301
Philadelphia, PA 19143-1900

Fax (215) 748-9777

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC004741L (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104152552

Foot Forward Podiatry, LLC's National Provider Identifier is 1104152552, issued on Oct 20, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 20, 2009.