Philadelphia Podiatry Group in Phila - Podiatrist
Philadelphia Podiatry Group - NPI 1518029461
Philadelphia Podiatry Group is a Podiatrist in Phila, Pennsylvania. Philadelphia Podiatry Group practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Philadelphia Podiatry Group is 1518029461. The last update date is 2020-08-22.
Philadelphia Podiatry Group's current location address is 2428 S Broad St, Phila, Pennsylvania. You can contact this provider via phone number 2153366600. The mailing address for Philadelphia Podiatry Group is 2428 S Broad St, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Philadelphia Podiatry Group |
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Address | 2428 S Broad St, Phila, Pennsylvania |
Phone Number | 2153366600 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Iezzi J Alfred |
Credentials | DPM |
Telephone Number | 2153366600 |
NPI Number Detail
NPI Number | 1518029461 |
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Provider Enumeration Date | 2006-12-15 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2428 S Broad St |
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City | Phila |
State | Pennsylvania (PA) |
Post Code | 191454418 |
Phone Number | 2153366600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | SC002094L |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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687240000 | PA | KEYSTONE HMO |
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What is the unique identifier code issued to Philadelphia Podiatry Group by the Centers for Medicare & Medicaid Services?
The Philadelphia Podiatry Group has been assigned the NPI (National Provider Identifier) 1518029461. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Philadelphia Podiatry Group?
The Philadelphia Podiatry Group is situated at 2428 S Broad St, in the city of Phila, state of PA, with the zip code 191454418.
What is Philadelphia Podiatry Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Philadelphia Podiatry Group is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did Philadelphia Podiatry Group receive its 1518029461 assignment from the Centers for Medicare & Medicaid Services?
The Philadelphia Podiatry Group was assigned its 1518029461 on 2006-12-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Philadelphia Podiatry Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Philadelphia Podiatry Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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