PORT RICHMOND PODIATRY LLC. NPI 1841968302

NPI Information

NPI: 1841968302
Provider Name: PORT RICHMOND PODIATRY LLC.
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
2416 E ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 426-8637
Get Directions

PORT RICHMOND PODIATRY LLC. is a primary podiatric medicine podiatrist in Philadelphia, PA. PORT RICHMOND PODIATRY LLC. NPI is 1841968302. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2416 E ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134-403
Phone: (215) 426-8637
Fax: (215) 423-8637

The provider's authorized official is Jinho Yoo .
The authorized official title is Podiatrist and has the following contact phone number (215) 426-8637.

The enumeration date for this NPI number is 8/31/2021 and was last updated on 4/22/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine			Yes

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

NPI Synchronization or Removal

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