JOHN J DEGOVANN DPM PC NPI 1194083790

NPI Information

NPI: 1194083790
Provider Name: JOHN J DEGOVANN DPM PC

Doing Business As: MANAYUNK FOOT AND ANKLE

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
5735 RIDGE AVE STE 203
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 487-0475
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JOHN J DEGOVANN DPM PC is a podiatric clinic center in Philadelphia, PA. JOHN J DEGOVANN DPM PC NPI is 1194083790. The provider is registered as an organization entity type.
The provider Is Doing Business As Manayunk Foot And Ankle.

The provider's business location address is:

5735 RIDGE AVE STE 203
PHILADELPHIA, PA
ZIP 19128-747
Phone: (215) 487-0475
Fax: (215) 487-0171

The provider's authorized official is James D Sandy .
The authorized official title is President and has the following contact phone number (215) 487-0475.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 3/17/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	SC001467L	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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