Organization · NPI-2

Advanced Care Podiatry

Podiatrist, Foot & Ankle Surgery · Philadelphia, PA

NPI number1982085783
StatusActive
Last updated in NPPESDec 13, 2019

Details

NPI
1982085783
Entity type
Organization (NPI-2)
Legal business name
Advanced Care Podiatry
Organization subpart
No
Enumeration date
Jun 17, 2015
Certification date
Dec 13, 2019
Last updated
Dec 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgerysc006158PAYes

Practice location

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Phone 215-291-2194

Mailing address

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Phone 215-291-2194

Authorized official

Aisha Chaudhry
Ceo
2156394500

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