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Organization
ANKLE & FOOT SURGICAL ASSOCIATES, INC.
Active
Organization
ANKLE & FOOT SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J. PELLECCHIA D.P.M. (PRESIDENT)
(215) 947-9338
Entity
Organization
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 105, MEADOWBROOK, PA 19046-8004
(215) 947-9338
(215) 947-8407
Mailing address
1650 HUNTINGDON PIKE, SUITE 105, MEADOWBROOK, PA 19046-8004
(215) 947-9338
(215) 947-8407
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004647853
AETNA
PA
01
—
043236200
INDEPENDENCE BLUE CROSS
PA
05
—
1205530
—
PA
Enumeration date
06/03/2006
Last updated
07/08/2010
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