Port Richmond Family Footcare

NPI 1295115293 - Podiatrist - 213E00000X

NPI Details
NPI 1295115293
Enumeration Date 06/04/2015
Last Updated 06/04/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LARRY LARRY
Position PRESIDENT
Phone (215) 843-2330
Fax (215) 848-6760
Practice Location
2 PENN BLVD
SUITE 116
PHILADELPHIA PA, 19144-1416, US
Phone (215) 843-2330
Fax (215) 848-6760
Business Location
2 PENN BLVD
SUITE 116
PHILADELPHIA PA, 19144-1416, US
Phone (215) 843-2330
Fax (215) 848-6760
Toxanomy
Taxonomy Code 213E00000X
License State Pennsylvania
License Number SC006584
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According to our database, Port Richmond Family Footcare NPI is 1295115293, taxonomy code is 213E00000X and license number is SC006584, license state is located at Pennsylvania. Port Richmond Family Footcare physically located at 2 Penn Blvd, Philadelphia PA, 19144-1416. NPI Number 1033115704 has the healthcare provider type.

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1295115293 NPI number is provided on an as is basis without warranty of any kind. 1295115293 is maintained by the National Plan & Provider Enumeration System. The contents of Port Richmond Family Footcare are for informational purposes only.