Organization Name: | FOOT AND ANKLE CENTER, INC |
NPI Number: | 1144284605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLAN S HETELSON (PRESIDENT) |
Mailing Address: | 2222 Bristol Pike Bensalem |
State: | PA US |
Postal Code: | 190205210 |
Phone Number: | 2156383338 |
Fax Number: | 2156383030 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 12/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |