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Organization
RAPHA FOOT AND ANKLE CENTER, INC
Active
Organization
RAPHA FOOT AND ANKLE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONG LEE DPM (OWNER)
(267) 974-8705
Entity
Organization
Contact information
Practice address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Mailing address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
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
05
—
1009302350001
—
PA
Enumeration date
01/29/2018
Last updated
01/29/2018
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