Easy Stride Pain & Injury Center, Pc

NPI 1366591596 - Podiatrist - 213ES0103X

NPI Details
NPI 1366591596
Enumeration Date 01/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name J GREGORY J
Position PODIATRIST
Phone (215) 222-2225
Fax (215) 222-3070
Practice Location
4014 LANCASTER AVE # A
PHILADELPHIA PA, 19104-1712, US
Phone (215) 222-2225
Fax (215) 222-3070
Business Location
4014 LANCASTER AVE # A
PHILADELPHIA PA, 19104-1712, US
Phone (215) 222-2225
Fax (215) 222-3070
Toxanomy
Taxonomy Code 213ES0103X
License State Pennsylvania
License Number SC-001795-L
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According to our database, Easy Stride Pain & Injury Center, Pc NPI is 1366591596, taxonomy code is 213ES0103X and license number is SC-001795-L, license state is located at Pennsylvania. Easy Stride Pain & Injury Center, Pc physically located at 4014 Lancaster Ave # A, Philadelphia PA, 19104-1712. NPI Number 1033115704 has the healthcare provider type.

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1366591596 NPI number is provided on an as is basis without warranty of any kind. 1366591596 is maintained by the National Plan & Provider Enumeration System. The contents of Easy Stride Pain & Injury Center, Pc are for informational purposes only.