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COMPREHENSIVE PODIATRIC CARE CENTER PC NPI 1316120983


NPI Information

NPI: 1316120983
Provider Name: COMPREHENSIVE PODIATRIC CARE CENTER PC

Other Name: KENNETH J. DORTONE, DPM

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2429 BROWN ST
PHILADELPHIA, PA
ZIP 19130
Phone: (215) 236-4088
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COMPREHENSIVE PODIATRIC CARE CENTER PC is a durable medical equipment medical supplies in Philadelphia, PA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COMPREHENSIVE PODIATRIC CARE CENTER PC NPI is 1316120983. The provider is registered as an organization entity type.
The provider Other Name Is Kenneth J. Dortone, Dpm.

The provider's business location address is:

2429 BROWN ST
PHILADELPHIA, PA
ZIP 19130-930
Phone: (215) 236-4088

The provider's authorized official is Kenneth J Dortone .
The authorized official title is Podiatrist and has the following contact phone number (215) 236-4088.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 2/4/2014.


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
1332B00000XDurable Medical Equipment & Medical SuppliesSC003609LPENNSYLVANIAYes

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
11142920001MEDICARE NSCPENNSYLVANIA

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

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