Organization Name: | ANKLE AND FOOT SURGICAL AND PODIATRY CLINIC PA |
NPI Number: | 1063648533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFONSO ANTHONY HARO (PRESIDENT) |
Mailing Address: | 200 Westgate Dr Suite A West End |
State: | NC US |
Postal Code: | 273768038 |
Phone Number: | 9102957400 |
Fax Number: | 9102950104 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |