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Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Active
Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
123 CHESTNUT ST STE 201, PHILADELPHIA, PA 19106-3051
(215) 923-2455
(484) 535-5446
Mailing address
123 CHESTNUT ST STE 201, PHILADELPHIA, PA 19106-3051
(856) 702-2500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
11/21/2024
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