ADVANTAGE FOOT AND ANKLE CENTER PA NPI 1215972914

NPI Information

ADVANTAGE FOOT AND ANKLE CENTER PA is a foot and ankle surgery podiatrist in Newark, DE. ADVANTAGE FOOT AND ANKLE CENTER PA NPI is 1215972914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 CENTURIAN DR
SUITE 101
NEWARK, DE
ZIP 19713-137
Phone: (302) 994-5275
Fax: (302) 994-1794

The provider's authorized official is Jason Matthew Bell .
The authorized official title is Owner and has the following contact phone number (302) 994-5275.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 9/20/2011.

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

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

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