CENTER FOR FOOT & ANKLE EXCELLENCE NPI 1588980114

NPI Information

CENTER FOR FOOT & ANKLE EXCELLENCE is a foot and ankle surgery podiatrist in Philadelphia, PA. CENTER FOR FOOT & ANKLE EXCELLENCE NPI is 1588980114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5735 RIDGE AVE
STE 208
PHILADELPHIA, PA
ZIP 19128-745
Phone: (215) 483-2006
Fax: (215) 483-2066

The provider's authorized official is Larry Goss .
The authorized official title is Provider and has the following contact phone number (215) 483-2006.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 12/31/2013.

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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