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PREMIER CARE PODIATRY PC NPI 1740953934


NPI Information

NPI: 1740953934
Provider Name: PREMIER CARE PODIATRY PC

Doing Business As: PREMIER CARE PODIATRY

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

Specialization: Podiatric

Address:
4605 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 289-7007
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PREMIER CARE PODIATRY PC is a podiatric clinic center in Philadelphia, PA. PREMIER CARE PODIATRY PC NPI is 1740953934. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Care Podiatry.

The provider's business location address is:

4605 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124-803
Phone: (215) 289-7007
Fax: (215) 289-3400

The provider's authorized official is Leslie Baeza .
The authorized official title is Owner and has the following contact phone number (215) 289-7007.

The enumeration date for this NPI number is 7/26/2021 and was last updated on 8/23/2021.


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
1261QP1100XClinic/CenterPodiatricYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.