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1972166940
PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
PHILADELPHIA, PA
NPI
1972166940
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Entity Type
Organization
Authorized Contact
ALYSSA MARIE PICCILLO
Partner
570-417-4755
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date
2019-04-16
Last Update Date
2022-06-02
Business Address
PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
500 FAIRMOUNT AVE FL 1
PHILADELPHIA, PA 19123-2890
Phone number: 267-909-9594
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Mailing Address
PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
PO BOX 40068
PHILADELPHIA, PA 19106-0068
Phone number: 267-909-9594
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