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PORT RICHMOND FAMILY FOOT CAREPC NPI 1457381634


NPI Information

NPI: 1457381634
Provider Name: PORT RICHMOND FAMILY FOOT CARE,PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2416 EAST ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 426-8637
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PORT RICHMOND FAMILY FOOT CARE,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. PORT RICHMOND FAMILY FOOT CARE,PC NPI is 1457381634. The provider is registered as an organization entity type.

The provider's business location address is:

2416 EAST ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 426-8637
Fax: (215) 423-8637

The provider's authorized official is Barbara Corbett .
The authorized official title is Office Manager and has the following contact phone number (215) 843-2330.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/6/2016.


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 Supplies4744650001PENNSYLVANIANo
2213E00000XPodiatristYes

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
1544104MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
24744650001MEDICARE NSCPENNSYLVANIA
3735706MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

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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