Organization · Type 2 NPI
Foot and Ankle Excellence, Inc
Foot & Ankle Surgery Podiatrist · Philadelphia, PA
NPI number
1710335476
Active
Practice location
1900 Grant Ave Ste B
Philadelphia, PA 19115-4370
Fax (215) 698-6144
Mailing address
1927 Goodnaw St
Philadelphia, PA 19115-4720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC006479 (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006479 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1710335476
Foot and Ankle Excellence, Inc's National Provider Identifier is 1710335476, issued on Jun 2, 2016. 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 Jul 21, 2022.