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FOOT FORWARD PODIATRY LLC NPI 1104152552


NPI Information

NPI: 1104152552
Provider Name: FOOT FORWARD PODIATRY, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
501 S 54TH ST
SUITE 301
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 748-9770
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FOOT FORWARD PODIATRY, LLC is a foot and ankle surgery podiatrist in Philadelphia, PA. FOOT FORWARD PODIATRY, LLC NPI is 1104152552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 S 54TH ST
SUITE 301
PHILADELPHIA, PA
ZIP 19143-900
Phone: (215) 748-9770
Fax: (215) 748-9777

The provider's authorized official is Joseph Dominic Rondeau .
The authorized official title is Sole Proprietor and has the following contact phone number (215) 748-9770.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgerySC004741LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U94873MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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