Foot And Ankle Specialists Of The Mid-Atlantic, LLC
Podiatrist in Harrisburg, PA. Organization (NPI-2).
NPI number1336780345
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1336780345
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot And Ankle Specialists Of The Mid-Atlantic, LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2019
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
4033 Linglestown Rd Ste 1Harrisburg, PA 17112-1153
Phone 717-651-0000 · Fax 717-651-0001
Mailing address
Po Box 825159Philadelphia, PA 19182-5159
Phone 301-933-7133 · Fax 301-933-7137
Authorized official
Michael Tritto
Partner
3019337133
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