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Organization
FOOT AND ANKLE SPECIALISTS OF CENTRAL PA, P.C.
Active
Organization
FOOT AND ANKLE SPECIALISTS OF CENTRAL PA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN DUKATE (CREDENTIALING SPECIALIST)
(904) 515-2625
Entity
Organization
Contact information
Practice address
4 FLOWERS DR, MECHANICSBURG, PA 17050-1701
(215) 205-6973
Mailing address
4 FLOWERS DR, MECHANICSBURG, PA 17050-1701
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031386180001
—
PA
Enumeration date
08/22/2016
Last updated
10/10/2019
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