| NPI | 1093243024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE ATKINSON-SNEED Medical Director 215-740-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD000948) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD000948) |
| 213E00000X Podiatrist (Licence: SC 602) | |
| 213EP0504X Podiatrist Public Medicine (Licence: GA POD000948) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: GA POD000948) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: SC 602) | |
| 213ER0200X Podiatrist Radiology (Licence: GA POD000948) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 602) | |
| 261QP1100X Clinic/Center Podiatric (Licence: GA POD000948) | |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2022-07-21 |