NORTHEAST FAMILY FOOT CARE PC NPI 1174739940

NPI Information

NORTHEAST FAMILY FOOT CARE, PC is a foot surgery podiatrist in Philadelphia, PA. NORTHEAST FAMILY FOOT CARE, PC NPI is 1174739940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9892 BUSTLETON AVE
SUITE 303
PHILADELPHIA, PA
ZIP 19115-184
Phone: (215) 673-3200
Fax: (215) 673-3884

The provider's authorized official is Donna G. Myers .
The authorized official title is Owner and has the following contact phone number (215) 673-3200.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 11/13/2009.

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:

Other Identifiers

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