Organization Name: | CHELTENHAM FOOT AND ANKLE |
NPI Number: | 1164528402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARMILA DAS-WATTLEY (DR) |
Mailing Address: | 1801 W Cheltenham Ave Elkins Park |
State: | PA US |
Postal Code: | 190271049 |
Phone Number: | 2156353656 |
Fax Number: | 2156351220 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | SCOO4426L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |