institution
First State Foot & Ankle, Llc
Foot & Ankle Surgery Podiatrist in Wilmington, Delaware
NPI 1154344422

First State Foot & Ankle, Llc is a Foot & Ankle Surgery Podiatrist based in Wilmington, DE and is specialized in Foot & Ankle Surgery. First State Foot & Ankle, Llc practices in Wilmington, DE. The NPI Number for First State Foot & Ankle, Llc is 1154344422 and holds a License No. E1-0000143 (Delaware).

The current practice location address for First State Foot & Ankle, Llc is 4512 Kirkwood Highway Suite 203, Wilmington, DE and can be reached out via phone at 302-984-0257 and via fax at 302-984-0258.

Location: 4512 Kirkwood Highway Suite 203, Wilmington, DE, 19808
institution
Provider Profile Details
NPI Number
1154344422
Provider Name
First State Foot & Ankle, Llc
Credential
Provider Entity Type
Organization
Address
4512 Kirkwood Highway Suite 203, Wilmington, DE, 19808
Phone Number
302-984-0257
Fax Number
302-984-0258
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2245524000 01 DE AMERIHEALTH/ KEYSTONE #
7752539 01 DE AETNA GROUP #
1000027213 05 DE
0001047917 01 DE DELAWARE PHYSICIANS INC.
institution
Provider Business Practice Location Address Details
Address
4512 Kirkwood Highway Suite 203
City
State
Zip
19808
Phone Number
302-984-0257
Fax Number
302-984-0258
person
Provider Business Mailing Address Details
Address
4512 Kirkwood Highway Suite 203
City
State
Zip
19808
Phone Number
302-984-0257
Fax Number
302-984-0258
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E1-0000143 (Delaware)
Definition
Definition to come...
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