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ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC NPI 1124010152


NPI Information

NPI: 1124010152
Provider Name: ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3801 MARKET ST
MAB #111
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-9563
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ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC is a podiatrist in Philadelphia, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC NPI is 1124010152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 MARKET ST
MAB #111
PHILADELPHIA, PA
ZIP 19104-153
Phone: (215) 662-9563
Fax: (215) 243-8818

The provider's authorized official is Alan J Mlodzienski .
The authorized official title is President and has the following contact phone number (215) 662-9563.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 6/17/2010.


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
1213E00000XPodiatristYes

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
14638080001MEDICARE NSCPENNSYLVANIA
20017329000002MEDICAIDPENNSYLVANIA
3024142MEDICARE PIN

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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