# RAPHA FOOT AND ANKLE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609045079
- **Authorized official:** DR. JONG MIN LEE DPM (OWNER)
- **Authorized official phone:** (215) 289-7007

## Contact information

- **Practice address:** 4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
- **Practice address phone:** (215) 289-7007
- **Practice address fax:** (215) 289-3400
- **Mailing address:** 10 LIBERTE LN, CHESTERBROOK, PA 19087-5721
- **Mailing address phone:** (610) 584-4143
- **Mailing address fax:** (610) 584-4143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 03/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1009302350001 | — | PA |
| 01 | — | 5288640001 | MEDICARE NAC (DME) | PA |