institution
Northeast Family Foot Care, Pc
Foot Surgery Podiatrist in Philadelphia, Pennsylvania
NPI 1174739940

Northeast Family Foot Care, Pc is a Foot Surgery Podiatrist based in Philadelphia, PA and is specialized in Foot Surgery. Northeast Family Foot Care, Pc practices in Philadelphia, PA. The NPI Number for Northeast Family Foot Care, Pc is 1174739940 and holds a License No. SC004123-L (Pennsylvania).

The current practice location address for Northeast Family Foot Care, Pc is 9892 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-673-3200 and via fax at 215-673-3884. You can also correspond with Northeast Family Foot Care, Pc through the mailing address at 9892 BUSTLETON AVE, PHILADELPHIA, PA - 19115-2184 (mailing address contact number: 215-673-3200).

Location: 9892 Bustleton Ave, Philadelphia, PA, 19115-2184
institution
Provider Profile Details
NPI Number
1174739940
Provider Name
Northeast Family Foot Care, Pc
Credential
Provider Entity Type
Organization
Address
9892 Bustleton Ave, Philadelphia, PA, 19115-2184
Phone Number
215-673-3200
Fax Number
215-673-3884
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GOO1124200 01 PA AMERICHOICE
32994 01 PA HEALTH ANDSENIOR PARTNERS
480034747 01 PA RAILROAD MEDICARE
2018883000 01 PA INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
9892 Bustleton Ave
City
State
Zip
19115-2184
Phone Number
215-673-3200
Fax Number
215-673-3884
person
Provider Business Mailing Address Details
Address
9892 Bustleton Ave
City
State
Zip
19115-2184
Phone Number
215-673-3200
Fax Number
215-673-3884
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
SC004123-L (Pennsylvania)
Definition
Definition to come...
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