# RAPHA FOOT AND ANKLE CENTER, INC

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

## Provider details

- **NPI number:** 1629576350
- **Authorized official:** JONG LEE DPM (OWNER)
- **Authorized official phone:** (267) 974-8705

## 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:** 4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
- **Mailing address phone:** (215) 289-7007
- **Mailing address fax:** (215) 289-3400

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 01/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1009302350001 | — | PA |