# NOVA FOOT AND ANKLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova Foot and Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700454543
- **Authorized official:** ELIZABETH LUONG DPM (OWNER)
- **Authorized official phone:** (267) 761-9780

## Contact information

- **Practice address:** 3200 FRANKFORD AVENUE 3 FL, 3 FL, PHILADELPHIA, PA 19134
- **Practice address phone:** (267) 761-9780
- **Practice address fax:** (267) 761-9781
- **Mailing address:** 3200 FRANKFORD AVENUE 3 FL, 3 FL, PHILADELPHIA, PA 19134
- **Mailing address phone:** (267) 761-9780

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 07/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1760688063 | — | PA |